www.surveymonkey.com
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18.239.36.82
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Submitted URL: https://go.invoicecloud.com/ODg3LVRJSS0wMTUAAAGU5hQParOkF9TBMR25oxXi1OyJbYKNXz83KiavukZaAx4y7Yxt0hOgdkEw4HT5YU4_bKwcRz0=
Effective URL: https://www.surveymonkey.com/r/QR_Code_and_Return_Envelope_Survey?mkt_tok=ODg3LVRJSS0wMTUAAAGU5hQPavqucRKEBBiXDA0YVI_TEnlatkg...
Submission: On August 12 via manual from IN — Scanned from DE
Effective URL: https://www.surveymonkey.com/r/QR_Code_and_Return_Envelope_Survey?mkt_tok=ODg3LVRJSS0wMTUAAAGU5hQPavqucRKEBBiXDA0YVI_TEnlatkg...
Submission: On August 12 via manual from IN — Scanned from DE
Form analysis
1 forms found in the DOMName: surveyForm — POST
<form name="surveyForm" action="" method="post" enctype="multipart/form-data" novalidate="" data-survey-page-form="">
<div class="questions clearfix">
<div class="question-row clearfix
">
<div data-question-type="open_ended_single" data-rq-question-type="open_ended" class="question-container
">
<div id="question-field-202135719" data-qnumber="1" data-qdispnumber="1" data-question-id="202135719" class=" question-open-ended-single qn question single question-required">
<h3 class="screenreader-only">Question Title</h3>
<div class=" question-fieldset question-legend">
<h4 id="question-title-202135719" class=" question-title-container ">
<span class="required-asterisk notranslate"> * </span>
<span class="question-number notranslate"> 1<span class="question-dot">.</span>
</span>
<span class="user-generated notranslate
"> Biller Name</span>
</h4>
<div class="question-body clearfix notranslate ">
<div id="open-ended-single_202135719" data-question-id="202135719" data-response="" data-sm-open-single="" maxlength="20000" data-ng="true" data-required="true" data-size="50" data-labeledby="question-title-202135719">
<div class="question-body open-ended-single"><input aria-labelledby="question-title-202135719" id="202135719" aria-required="true" data-sm-open-single="true" maxlength="20000" class="wds-input wds-input--lg qt-input_text text"
name="202135719" size="50" value=""></div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="survey-submit-actions center-text clearfix">
<button type="submit" data-submit-page-button="" class="btn small next-button survey-page-button user-generated notranslate"> Next </button>
</div>
<input type="hidden" id="survey_data" name="survey_data"
value="c0BEbA7iDy16YeLYMbA3PBT5bPbYsOiR0T2zG9ClbUwFCKJB3738Z_2Frw8PT_2Fxz0Lf8rdq_2F59OEIX_2BUJJdjFY2f9CNY8vTePeGOWnVBNtP3Ed5dGAZe10KJelSN0x0ADXh_2B3Xg51WB2glucwqsOCmi38xGNJYVIDK6islkMAAJHuWQH7ZlO0Phg00FKirM1YDfUzJDMj_2BG7bsYfNOK3XxRa5llADh_2BUALDpnuWx7hUgYT_2FzSz44vWT3u_2FhLEowV1Vt_2B7ML5BEEFPynmp9dlmz7cJB6CfC6_2FtoFYEKpkczfMz118Qg02Jkej7GleKTavS1fNJvmELZ9lV4vJqIpPrdnY_2Bz6hvBq1UOXA85TsUJEgOPCpZpufw6oLwdVLryteqea5b6BQACHIOU15XhST37fIOgrRrinHEYlimEhTt5Mf2nsZWG7EsKVx5EAzCVcfyF9za75w_2FM5pPfcUcLZsp88gfCeacl7tTISDZehYCobUaURpRDQ3bbqZu3Nrdy_2F6iVLIY0c9_2BUFxe2JFxknLcl_2F5mAc5lPtzNRvblnU_2B_2FWJAmXjnwfca8SOoHVnChhxPfjUFtiZpc_2B4yUS7vNg4ESOtB9N1obSh2B3VN_2Fo8M3f2_2FQ_3D">
<input type="hidden" data-response-quality="" id="response_quality_data" name="response_quality_data" value="{}">
<input type="hidden" id="is_previous" name="is_previous" value="false">
<input type="hidden" id="disable_survey_buttons_on_submit" name="disable_survey_buttons_on_submit" value="">
</form>
Text Content
QR CODE AND RETURN ENVELOPE USAGE Please take a moment to let us know how you are using (or not using!) QR codes and return envelopes. This short survey should only take 2 minutes to complete and will help us to better support your marketing and communications efforts to get more people paying electronically. QUESTION TITLE * 1. BILLER NAME Next Powered by See how easy it is to create surveys and forms. Privacy & Cookie Notice Javascript is required for this site to function, please enable.