naviva.matriqs.nl Open in urlscan Pro
5.100.229.40  Public Scan

Form analysis
1 forms found in the DOM

GET https://naviva.matriqs.nl/Online/Survey?role=Respondent

<form method="Get" action="https://naviva.matriqs.nl/Online/Survey?role=Respondent">
  <input type="hidden" data-bind="value: CurrentLanguage().Language" name="language" value="1">
  <ul class="collection no-border-collection with-header">
    <li class="center transparent">
      <div class="row">
        <div class="col s12">
          <div class="errMsg card-panel notification error-color hide darken-1 left-align">
            <i class="errmsgClose close-button white-text material-icons right">close</i>
            <div class="white-text valign-wrapper">
              <i class="material-icons left notification-icon">cancel</i>
              <span data-content="message"></span>
            </div>
          </div>
          <div class="errMsg card-panel notification error-color hide darken-1 left-align template hide">
            <i class="errmsgClose close-button white-text material-icons right">cancel</i>
            <div class="white-text valign-wrapper">
              <i class="material-icons left notification-icon"></i>
              <span data-content="message"></span>
            </div>
          </div>
        </div>
      </div>
    </li>
    <li class="collection-item valign-wrapper login-input transparent" data-bind="text:Instruction">Heeft u een code ontvangen voor het invullen van de vragenlijst? Voer hieronder uw code in.</li>
    <li class="collection-item valign-wrapper login-input transparent">
      <div class="col s12 input-field custom-input" id="multipleinputscontainer">
        <input class="multipleinputs center" data-inputmode="numeric" data-bind="value:FirstInput" type="text" maxlength="4" placeholder="0000" inputmode="numeric" autofocus="autofocus">
        <input class="multipleinputs center" data-inputmode="numeric" data-bind="value:SecondInput" type="text" maxlength="4" placeholder="0000" inputmode="numeric">
        <input class="multipleinputs center" data-inputmode="numeric" data-bind="value:ThirdInput" type="text" maxlength="4" placeholder="0000" inputmode="numeric">
        <input class="multipleinputs center" data-bind="value:FourthInput" type="text" maxlength="4" placeholder="ABCD">
        <input class="validate login-text-input" name="respondentcode" id="respondentcode" data-bind="attr: {placeholder: Placeholder}, value: RespondentCode" placeholder="Uw code" type="hidden" autocomplete="off">
      </div>
    </li>
    <li class="collection-item valign-wrapper login-input transparent">
      <div class="col s12 left-align">
        <button type="submit" class="login-button uppercase" data-bind="text:Button">Verder</button>
      </div>
    </li>
    <li class="collection-item valign-wrapper login-input transparent">
      <div class="col s12">
        <a id="signoff" href="#" data-bind="text: SignOffText">Afmelden voor deelname?</a>
      </div>
    </li>
    <li class="collection-item transparent">
      <a class="dropdown-trigger btn-flat" href="#" id="languageselect" data-constrainwidth="false" data-covertrigger="true" data-target="languageDropdown"><span class="flag-icon flag-icon-nl" data-bind="css: CurrentLanguage().CSS"></span><span>&nbsp;Select language</span><i class="material-icons right">expand_more</i></a>
      <ul id="languageDropdown" class="dropdown-content" data-bind="foreach:AvailableLanguages" tabindex="0">
        <li tabindex="0"><a href="#!" data-bind="click: OnlineStart.Instance().SetLanguage.bind(OnlineStart.Instance())"><div class="flag-icon flag-icon-nl" data-bind="css:CSS"></div><span data-bind="text:Name">Nederlands</span></a></li>
        <li tabindex="0"><a href="#!" data-bind="click: OnlineStart.Instance().SetLanguage.bind(OnlineStart.Instance())"><div class="flag-icon flag-icon-gb" data-bind="css:CSS"></div><span data-bind="text:Name">English</span></a></li>
        <li tabindex="0"><a href="#!" data-bind="click: OnlineStart.Instance().SetLanguage.bind(OnlineStart.Instance())"><div class="flag-icon flag-icon-fr" data-bind="css:CSS"></div><span data-bind="text:Name">Français</span></a></li>
        <li tabindex="0"><a href="#!" data-bind="click: OnlineStart.Instance().SetLanguage.bind(OnlineStart.Instance())"><div class="flag-icon flag-icon-de" data-bind="css:CSS"></div><span data-bind="text:Name">Deutsch</span></a></li>
        <li tabindex="0"><a href="#!" data-bind="click: OnlineStart.Instance().SetLanguage.bind(OnlineStart.Instance())"><div class="flag-icon flag-icon-tr" data-bind="css:CSS"></div><span data-bind="text:Name">Türk</span></a></li>
        <li tabindex="0"><a href="#!" data-bind="click: OnlineStart.Instance().SetLanguage.bind(OnlineStart.Instance())"><div class="flag-icon flag-icon-dk" data-bind="css:CSS"></div><span data-bind="text:Name">Danish</span></a></li>
        <li tabindex="0"><a href="#!" data-bind="click: OnlineStart.Instance().SetLanguage.bind(OnlineStart.Instance())"><div class="flag-icon flag-icon-fi" data-bind="css:CSS"></div><span data-bind="text:Name">Finnish</span></a></li>
        <li tabindex="0"><a href="#!" data-bind="click: OnlineStart.Instance().SetLanguage.bind(OnlineStart.Instance())"><div class="flag-icon flag-icon-no" data-bind="css:CSS"></div><span data-bind="text:Name">Norwegian</span></a></li>
        <li tabindex="0"><a href="#!" data-bind="click: OnlineStart.Instance().SetLanguage.bind(OnlineStart.Instance())"><div class="flag-icon flag-icon-se" data-bind="css:CSS"></div><span data-bind="text:Name">Swedish</span></a></li>
      </ul>
    </li>
  </ul>
</form>

Text Content

person
Inloggen
 * close
   cancel
   cancel
   
 * Heeft u een code ontvangen voor het invullen van de vragenlijst? Voer
   hieronder uw code in.
 * 
 * Verder
 * Afmelden voor deelname?
 *  Select languageexpand_more
   * 
     Nederlands
   * 
     English
   * 
     Français
   * 
     Deutsch
   * 
     Türk
   * 
     Danish
   * 
     Finnish
   * 
     Norwegian
   * 
     Swedish

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