115.127.200.6 Open in urlscan Pro
115.127.200.6  Public Scan

Form analysis
1 forms found in the DOM

POST thank_you.php

<form action="thank_you.php" method="post">
  <!--    <label for="reply">Remarks:</label>
    <div class="form-group">
        <div class="form-line">
            <textarea id="reply" name="reply" style="width:100%;" cols="12" placeholder="Please enter your message"></textarea>
        </div>
    </div>-->
  <br>
  <label for="ticketStatus" style="font-size:18px;">Customer Support Rating:</label>
  <div class="form-group" style="font-size:18px;">
    <div class="form-line">
      <input type="radio" name="ticketRate" value="1" class="form-control"> 1 &nbsp;&nbsp;&nbsp;&nbsp; <input type="radio" name="ticketRate" value="2" class="form-control"> 2 &nbsp;&nbsp;&nbsp;&nbsp; <input type="radio" name="ticketRate" value="3"
        class="form-control"> 3 &nbsp;&nbsp;&nbsp;&nbsp; <input type="radio" name="ticketRate" value="4" class="form-control"> 4 &nbsp;&nbsp;&nbsp;&nbsp; <input type="radio" name="ticketRate" value="5" class="form-control"> 5 <br> <br> <br> <br>
      <span style="font-size:16px;">Any Additional Feedback?</span><br>
      <textarea name="clientFeedback" rows="4" cols="50"></textarea>
    </div>
    <input type="hidden" name="ticketid" value="10313015">
    <br>
    <div style="max-width:230px;"><input class="btn btn-primary m-t-15 waves-effect twitterButton" type="submit" value="Submit"></div>
  </div>
</form>

Text Content

Thank you for contacting BRACNet support.
Please take a moment to rate your support experience from 1 to 5 (5 being the
best)


Customer Support Rating:
1      2      3      4      5



Any Additional Feedback?




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