secure3.surveynetwork.com Open in urlscan Pro
208.53.56.118  Public Scan

Form analysis
1 forms found in the DOM

Name: form1 — POST main.php?PHPSESSID=29746079-0a6474e2-0a6474de-00653459ee-0001cec90c-0000000080&cacheBust=1698027833

<form name="form1" id="form1" action="main.php?PHPSESSID=29746079-0a6474e2-0a6474de-00653459ee-0001cec90c-0000000080&amp;cacheBust=1698027833" method="post" onsubmit="return submitPage()">
  <noscript>
    <style>
      #customMessages {
        display: none
      }
    </style>
    <div style="margin:0 auto;display:table;text-align:center;_width:400px;">
      <img src="/media/images/headerlogo.jpg">
      <span class="instruction">
        <h1>Please enable your javascript to continue with this survey</h1>
      </span>
    </div>
  </noscript>
  <div id="customMessages" class="customMessages small" align="center" style="display: none;">Please wait while page is being loaded.</div>
  <div class="main" style="display: block;">
    <div class="header" align="center">
      <div><img id="headerLogo" oncontextmenu="return false"></div> <!-- HEADERLOGO -->
      <div class="statusBar">
        <table>
          <tbody>
            <tr>
              <td align="right">Start</td>
              <td class="progressBar" align="center">
                <div style="width:190px;height:12px;background:#fff;text-align:left;">
                  <div style="height:100%;background:#90D1EF;width:3.125%;"></div>
                </div>
              </td>
              <td align="left">Finish</td>
            </tr>
          </tbody>
        </table>
      </div>
    </div>
    <div class="errorContainer" align="center">
    </div>
    <table align="center" class="centerDiv mainContent">
      <tbody>
        <tr>
          <td>
            <p class="question"> Are you registered to vote in the county in which you live? </p>
            <table width="100%" cellpadding="2" cellspacing="2" border="0" class="punchtable">
              <script>
                function cellColorQA(cell, color) {
                  if (cell.style) {
                    cell.style.background = color;
                  }
                }
              </script>
              <tbody>
                <tr onclick="document.form1['QA_1'].click()" onmouseout="cellColorQA(this, '#FFFFFF');" onmouseover="cellColorQA(this, '#f4fafc');">
                  <td title="YES " width="25" valign="top">
                    <table cellspacing="0" cellpadding="0">
                      <tbody>
                        <tr>
                          <td width="100%" height="15" align="center" valign="center" style="cursor: pointer;"><input type="radio" name="qa[]" value="1" id="QA_1" autocomplete="off"> </td>
                        </tr>
                        <tr>
                          <td> </td>
                        </tr>
                      </tbody>
                    </table>
                  </td>
                  <td class="punch" align="left" valign="center">YES </td>
                </tr>
                <script>
                  function cellColorQA(cell, color) {
                    if (cell.style) {
                      cell.style.background = color;
                    }
                  }
                </script>
                <tr onclick="document.form1['QA_2'].click()" onmouseout="cellColorQA(this, '#FFFFFF');" onmouseover="cellColorQA(this, '#f4fafc');">
                  <td title="NO " width="25" valign="top">
                    <table cellspacing="0" cellpadding="0">
                      <tbody>
                        <tr>
                          <td width="100%" height="15" align="center" valign="center" style="cursor: pointer;"><input type="radio" name="qa[]" value="2" id="QA_2" autocomplete="off"> </td>
                        </tr>
                        <tr>
                          <td> </td>
                        </tr>
                      </tbody>
                    </table>
                  </td>
                  <td class="punch" align="left" valign="center">NO </td>
                </tr>
              </tbody>
            </table>
            <input type="hidden" name="__monitoring" value="mon"><input type="hidden" name="survey" value="29746079">
            <input type="hidden" name="version" value="sms">
            <input type="hidden" name="section" value="SCREENER">
            <!--INSERT-->
          </td>
        </tr>
      </tbody>
    </table>
    <div class="footer">
      <table class="navigation" align="center">
        <tbody>
          <tr>
            <td colspan="3">
              <hr>
            </td>
          </tr>
          <tr>
            <td class="btn_back" valign="top" align="left"><input type="image" name="btn_back" id="btn_back" class="btn_back" src="/media/images/back_btn.jpg" title="Previous question" onclick="goBack(event)" autocomplete="off"></td>
            <td>
              <div class="logo2"><img src=""></div>
            </td>
            <td class="btn_next" valign="top" align="right"><input type="image" name="btn_next" id="btn_next" class="btn_next" src="/media/images/next_btn.jpg" title="Next question" onclick="goNext(event)" autocomplete="off"></td>
          </tr>
        </tbody>
      </table>
      <p class="reminder"> During the survey, please do not use your browser's "Forward" OR "Back" buttons. To move through the survey, use the "Back" and "Next" buttons at the bottom of each page. </p>
    </div>
  </div>
  <input type="hidden" name="current" value="qa">
  <input type="hidden" name="__percent" value="20">
  <input type="hidden" name="__quotas" value="">
</form>

Text Content

PLEASE ENABLE YOUR JAVASCRIPT TO CONTINUE WITH THIS SURVEY

Please wait while page is being loaded.

Start

Finish



Are you registered to vote in the county in which you live?



YES



NO

--------------------------------------------------------------------------------



During the survey, please do not use your browser's "Forward" OR "Back" buttons.
To move through the survey, use the "Back" and "Next" buttons at the bottom of
each page.