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POST /s/index.php?HEX=BVRRSKF&number=447702079646&page_no=1

<form action="/s/index.php?HEX=BVRRSKF&amp;number=447702079646&amp;page_no=1" method="post" data-ajax="false">
  <input type="hidden" name="tSessionx" value="407">
  <fieldset>
    <span>
      <img src="https://tx.vc/r/20XBg">
    </span>
    <span>
      <h1>Thinking about your most recent contact with Admiral</h1>
    </span>
    <span>
      <label for="How easy were Admiral to deal with? (0 - not easy at all; 10 - extremely easy)">How easy were Admiral to deal with? (0 - not easy at all; 10 - extremely easy)</label>
      <select name="Easy" required="">
        <option value="">Please select an answer</option>
        <option value="10">10</option>
        <option value="9">9</option>
        <option value="8">8</option>
        <option value="7">7</option>
        <option value="6">6</option>
        <option value="5">5</option>
        <option value="4">4</option>
        <option value="3">3</option>
        <option value="2">2</option>
        <option value="1">1</option>
        <option value="0 ">0</option>
      </select>
    </span>
    <span>
      <label for="How satisfied were you with the person who dealt with your query?  (0 - not at all satisfied; 10 - extremely satisfied)">How satisfied were you with the person who dealt with your query? (0 - not at all satisfied; 10 - extremely
        satisfied)</label>
      <select name="Agent" required="">
        <option value="">Please select an answer</option>
        <option value="10">10</option>
        <option value="9">9</option>
        <option value="8">8</option>
        <option value="7">7</option>
        <option value="6">6</option>
        <option value="5">5</option>
        <option value="4">4</option>
        <option value="3">3</option>
        <option value="2">2</option>
        <option value="1">1</option>
        <option value="0 ">0</option>
      </select>
    </span>
    <span>
      <label for="How likely is it that you would recommend Admiral to a friend or colleague? (0 - not at all likely; 10 - extremely likely) ">How likely is it that you would recommend Admiral to a friend or colleague? (0 - not at all likely; 10 -
        extremely likely) </label>
      <select name="NPS" required="">
        <option value="">Please select an answer</option>
        <option value="10">10</option>
        <option value="9">9</option>
        <option value="8">8</option>
        <option value="7">7</option>
        <option value="6">6</option>
        <option value="5">5</option>
        <option value="4">4</option>
        <option value="3">3</option>
        <option value="2">2</option>
        <option value="1">1</option>
        <option value="0 ">0</option>
      </select>
    </span>
    <span>
      <label for="What one thing would you change about our service to improve your experience?">What one thing would you change about our service to improve your experience?</label>
      <textarea name="Comments" "=""></textarea>
</span>
<span>
<input type=" submit" name="Finish" value="Finish" data-role="none">
</span>
<input type="hidden" name="PolicyNo" value="P69546102">
<input type="hidden" name="Function" value="RN">
<input type="hidden" name="UniqueID" value="RNMTAAD229430000702">
 </fieldset>
</form>

Text Content

THINKING ABOUT YOUR MOST RECENT CONTACT WITH ADMIRAL

How easy were Admiral to deal with? (0 - not easy at all; 10 - extremely easy)
Please select an answer 10 9 8 7 6 5 4 3 2 1 0 How satisfied were you with the
person who dealt with your query? (0 - not at all satisfied; 10 - extremely
satisfied) Please select an answer 10 9 8 7 6 5 4 3 2 1 0 How likely is it that
you would recommend Admiral to a friend or colleague? (0 - not at all likely; 10
- extremely likely) Please select an answer 10 9 8 7 6 5 4 3 2 1 0 What one
thing would you change about our service to improve your experience?