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=29174060-0a6474ee-0a6474de-0066d4d94b-00004f9e6c-0000000b34&cacheBust=1725419827

<form name="form1" id="form1" action="main.php?PHPSESSID=29174060-0a6474ee-0a6474de-0066d4d94b-00004f9e6c-0000000b34&amp;cacheBust=1725419827" 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:2.77777777778%;"></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 JOHNSON County? </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="29174060">
            <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="7">
  <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 JOHNSON County?



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.