www.pa.gov
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45.60.233.41
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Submitted URL: http://state.pa.us/
Effective URL: https://www.pa.gov/
Submission: On November 17 via manual from US — Scanned from US
Effective URL: https://www.pa.gov/
Submission: On November 17 via manual from US — Scanned from US
Form analysis 1 forms found in the DOM
<form>
<div>
<div class="nf-before-form-content"><nf-section>
<div class="nf-form-fields-required">Fields marked with an <span class="ninja-forms-req-symbol">*</span> are required</div>
</nf-section></div>
<div class="nf-form-content "><nf-fields-wrap><nf-field>
<div id="nf-field-211_1-container" class="nf-field-container html-container label-above ">
<div class="nf-before-field"><nf-section>
</nf-section></div>
<div class="nf-field">
<div id="nf-field-211_1-wrap" class="field-wrap html-wrap" data-field-id="211_1">
<div class="nf-field-label"><label for="nf-field-211_1" id="nf-label-field-211_1" class="">HTML </label></div>
<div class="nf-field-element">
<h2>Welcome! Please tell us about your experience on PA.gov.</h2>
</div>
</div>
</div>
<div class="nf-after-field"><nf-section>
<div class="nf-input-limit"></div>
<div id="nf-error-211_1" class="nf-error-wrap nf-error" role="alert"></div>
</nf-section></div>
</div>
</nf-field><nf-field>
<div id="nf-field-41_1-container" class="nf-field-container listradio-container label-above list-container">
<div class="nf-before-field"><nf-section>
</nf-section></div>
<div class="nf-field">
<div id="nf-field-41_1-wrap" class="field-wrap listradio-wrap list-wrap list-radio-wrap" data-field-id="41_1">
<div class="nf-field-label"><label for="nf-field-41_1" id="nf-label-field-41_1" class="">1. How often do you visit PA.gov? <span class="ninja-forms-req-symbol">*</span> </label></div>
<div class="nf-field-element">
<ul aria-describedby="nf-error-41_1">
<li>
<input type="radio" id="nf-field-41_1-0" name="nf-field-41_1" class="ninja-forms-field nf-element " value="first-time" aria-labelledby="nf-label-class-field-41_1-0" required="">
<label for="nf-field-41_1-0" id="nf-label-class-field-41_1-0" class="">This is my first time</label>
</li>
<li>
<input type="radio" id="nf-field-41_1-1" name="nf-field-41_1" class="ninja-forms-field nf-element " value="daily" aria-labelledby="nf-label-class-field-41_1-1" required="">
<label for="nf-field-41_1-1" id="nf-label-class-field-41_1-1" class="">Daily</label>
</li>
<li>
<input type="radio" id="nf-field-41_1-2" name="nf-field-41_1" class="ninja-forms-field nf-element " value="weekly" aria-labelledby="nf-label-class-field-41_1-2" required="">
<label for="nf-field-41_1-2" id="nf-label-class-field-41_1-2" class="">Weekly</label>
</li>
<li>
<input type="radio" id="nf-field-41_1-3" name="nf-field-41_1" class="ninja-forms-field nf-element " value="monthly" aria-labelledby="nf-label-class-field-41_1-3" required="">
<label for="nf-field-41_1-3" id="nf-label-class-field-41_1-3" class="">Monthly</label>
</li>
<li>
<input type="radio" id="nf-field-41_1-4" name="nf-field-41_1" class="ninja-forms-field nf-element " value="a-few-times-a-year" aria-labelledby="nf-label-class-field-41_1-4" required="">
<label for="nf-field-41_1-4" id="nf-label-class-field-41_1-4" class="">A few times a year</label>
</li>
</ul>
</div>
</div>
</div>
<div class="nf-after-field"><nf-section>
<div class="nf-input-limit"></div>
<div id="nf-error-41_1" class="nf-error-wrap nf-error" role="alert"></div>
</nf-section></div>
</div>
</nf-field><nf-field>
<div id="nf-field-301_1-container" class="nf-field-container listcheckbox-container label-above list-container">
<div class="nf-before-field"><nf-section>
</nf-section></div>
<div class="nf-field">
<div id="nf-field-301_1-wrap" class="field-wrap listcheckbox-wrap list-wrap list-checkbox-wrap" data-field-id="301_1">
<div class="nf-field-label"><label for="nf-field-301_1" id="nf-label-field-301_1" class="">2. What are your reasons for visiting PA.gov today? (Check all that apply) <span class="ninja-forms-req-symbol">*</span> </label></div>
<div class="nf-field-element">
<ul aria-describedby="nf-error-301_1">
<li>
<input type="checkbox" id="nf-field-301_1-0" name="nf-field-301_1" class="ninja-forms-field nf-element " value="news" aria-labelledby="nf-label-field-301_1-0" required="">
<label for="nf-field-301_1-0" id="nf-label-field-301_1-0" class="">For news</label>
</li>
<li>
<input type="checkbox" id="nf-field-301_1-1" name="nf-field-301_1" class="ninja-forms-field nf-element " value="research" aria-labelledby="nf-label-field-301_1-1" required="">
<label for="nf-field-301_1-1" id="nf-label-field-301_1-1" class="">For research</label>
</li>
<li>
<input type="checkbox" id="nf-field-301_1-2" name="nf-field-301_1" class="ninja-forms-field nf-element " value="services" aria-labelledby="nf-label-field-301_1-2" required="">
<label for="nf-field-301_1-2" id="nf-label-field-301_1-2" class="">For services (see question #3)</label>
</li>
<li>
<input type="checkbox" id="nf-field-301_1-3" name="nf-field-301_1" class="ninja-forms-field nf-element " value="access-government-agencies" aria-labelledby="nf-label-field-301_1-3" required="">
<label for="nf-field-301_1-3" id="nf-label-field-301_1-3" class="">To access government agencies</label>
</li>
<li>
<input type="checkbox" id="nf-field-301_1-4" name="nf-field-301_1" class="ninja-forms-field nf-element " value="locate-a-state-park" aria-labelledby="nf-label-field-301_1-4" required="">
<label for="nf-field-301_1-4" id="nf-label-field-301_1-4" class="">To locate a state park</label>
</li>
<li>
<input type="checkbox" id="nf-field-301_1-5" name="nf-field-301_1" class="ninja-forms-field nf-element " value="start-a-business" aria-labelledby="nf-label-field-301_1-5" required="">
<label for="nf-field-301_1-5" id="nf-label-field-301_1-5" class="">To start a business</label>
</li>
<li>
<input type="checkbox" id="nf-field-301_1-6" name="nf-field-301_1" class="ninja-forms-field nf-element " value="other" aria-labelledby="nf-label-field-301_1-6" required="">
<label for="nf-field-301_1-6" id="nf-label-field-301_1-6" class="">Other (please specify)</label>
</li>
</ul>
</div>
</div>
</div>
<div class="nf-after-field"><nf-section>
<div class="nf-input-limit"></div>
<div id="nf-error-301_1" class="nf-error-wrap nf-error" role="alert"></div>
</nf-section></div>
</div>
</nf-field><nf-field>
<div id="nf-field-61_1-container" class="nf-field-container textbox-container label-above ">
<div class="nf-before-field"><nf-section>
</nf-section></div>
<div class="nf-field">
<div id="nf-field-61_1-wrap" class="field-wrap textbox-wrap" data-field-id="61_1">
<div class="nf-field-label"><label for="nf-field-61_1" id="nf-label-field-61_1" class=""> </label></div>
<div class="nf-field-element">
<input type="text" value="" class="ninja-forms-field nf-element" placeholder="I visited PA.gov because..." id="nf-field-61_1" name="nf-field-61_1" aria-invalid="false" aria-describedby="nf-error-61_1"
aria-labelledby="nf-label-field-61_1">
</div>
</div>
</div>
<div class="nf-after-field"><nf-section>
<div class="nf-input-limit"></div>
<div id="nf-error-61_1" class="nf-error-wrap nf-error" role="alert"></div>
</nf-section></div>
</div>
</nf-field><nf-field>
<div id="nf-field-311_1-container" class="nf-field-container listcheckbox-container label-above list-container">
<div class="nf-before-field"><nf-section>
</nf-section></div>
<div class="nf-field">
<div id="nf-field-311_1-wrap" class="field-wrap listcheckbox-wrap list-wrap list-checkbox-wrap" data-field-id="311_1">
<div class="nf-field-label"><label for="nf-field-311_1" id="nf-label-field-311_1" class="">3. If you accessed services, which ones? Services related to (check all that apply): <span class="ninja-forms-req-symbol">*</span> </label>
</div>
<div class="nf-field-element">
<ul aria-describedby="nf-error-311_1">
<li>
<input type="checkbox" id="nf-field-311_1-0" name="nf-field-311_1" class="ninja-forms-field nf-element " value="jobs-and-employment" aria-labelledby="nf-label-field-311_1-0" required="">
<label for="nf-field-311_1-0" id="nf-label-field-311_1-0" class="">Jobs and employment</label>
</li>
<li>
<input type="checkbox" id="nf-field-311_1-1" name="nf-field-311_1" class="ninja-forms-field nf-element " value="unemployment-compensation" aria-labelledby="nf-label-field-311_1-1" required="">
<label for="nf-field-311_1-1" id="nf-label-field-311_1-1" class="">Unemployment compensation</label>
</li>
<li>
<input type="checkbox" id="nf-field-311_1-2" name="nf-field-311_1" class="ninja-forms-field nf-element " value="driver-vehicle-and-transportation" aria-labelledby="nf-label-field-311_1-2" required="">
<label for="nf-field-311_1-2" id="nf-label-field-311_1-2" class="">Driver/vehicle and transportation</label>
</li>
<li>
<input type="checkbox" id="nf-field-311_1-3" name="nf-field-311_1" class="ninja-forms-field nf-element " value="voting" aria-labelledby="nf-label-field-311_1-3" required="">
<label for="nf-field-311_1-3" id="nf-label-field-311_1-3" class="">Voting</label>
</li>
<li>
<input type="checkbox" id="nf-field-311_1-4" name="nf-field-311_1" class="ninja-forms-field nf-element " value="taxes" aria-labelledby="nf-label-field-311_1-4" required="">
<label for="nf-field-311_1-4" id="nf-label-field-311_1-4" class="">Taxes</label>
</li>
<li>
<input type="checkbox" id="nf-field-311_1-5" name="nf-field-311_1" class="ninja-forms-field nf-element " value="hunting-fishing-or-boating" aria-labelledby="nf-label-field-311_1-5" required="">
<label for="nf-field-311_1-5" id="nf-label-field-311_1-5" class="">Hunting, fishing, or boating</label>
</li>
<li>
<input type="checkbox" id="nf-field-311_1-6" name="nf-field-311_1" class="ninja-forms-field nf-element " value="professional-licensing" aria-labelledby="nf-label-field-311_1-6" required="">
<label for="nf-field-311_1-6" id="nf-label-field-311_1-6" class="">Professional licensing</label>
</li>
<li>
<input type="checkbox" id="nf-field-311_1-7" name="nf-field-311_1" class="ninja-forms-field nf-element " value="vital-records" aria-labelledby="nf-label-field-311_1-7" required="">
<label for="nf-field-311_1-7" id="nf-label-field-311_1-7" class="">Vital records (such as birth certificates or death certificates)</label>
</li>
<li>
<input type="checkbox" id="nf-field-311_1-8" name="nf-field-311_1" class="ninja-forms-field nf-element " value="other" aria-labelledby="nf-label-field-311_1-8" required="">
<label for="nf-field-311_1-8" id="nf-label-field-311_1-8" class="">Other (please specify)</label>
</li>
</ul>
</div>
</div>
</div>
<div class="nf-after-field"><nf-section>
<div class="nf-input-limit"></div>
<div id="nf-error-311_1" class="nf-error-wrap nf-error" role="alert"></div>
</nf-section></div>
</div>
</nf-field><nf-field>
<div id="nf-field-81_1-container" class="nf-field-container textbox-container label-above ">
<div class="nf-before-field"><nf-section>
</nf-section></div>
<div class="nf-field">
<div id="nf-field-81_1-wrap" class="field-wrap textbox-wrap" data-field-id="81_1">
<div class="nf-field-label"><label for="nf-field-81_1" id="nf-label-field-81_1" class=""> </label></div>
<div class="nf-field-element">
<input type="text" value="" class="ninja-forms-field nf-element" placeholder="I accessed services related to..." id="nf-field-81_1" name="nf-field-81_1" aria-invalid="false" aria-describedby="nf-error-81_1"
aria-labelledby="nf-label-field-81_1">
</div>
</div>
</div>
<div class="nf-after-field"><nf-section>
<div class="nf-input-limit"></div>
<div id="nf-error-81_1" class="nf-error-wrap nf-error" role="alert"></div>
</nf-section></div>
</div>
</nf-field><nf-field>
<div id="nf-field-91_1-container" class="nf-field-container listradio-container label-above list-container">
<div class="nf-before-field"><nf-section>
</nf-section></div>
<div class="nf-field">
<div id="nf-field-91_1-wrap" class="field-wrap listradio-wrap list-wrap list-radio-wrap" data-field-id="91_1">
<div class="nf-field-label"><label for="nf-field-91_1" id="nf-label-field-91_1" class="">4. Did you find what you were looking for today? <span class="ninja-forms-req-symbol">*</span> </label></div>
<div class="nf-field-element">
<ul aria-describedby="nf-error-91_1">
<li>
<input type="radio" id="nf-field-91_1-0" name="nf-field-91_1" class="ninja-forms-field nf-element " value="yes" aria-labelledby="nf-label-class-field-91_1-0" required="">
<label for="nf-field-91_1-0" id="nf-label-class-field-91_1-0" class="">Yes</label>
</li>
<li>
<input type="radio" id="nf-field-91_1-1" name="nf-field-91_1" class="ninja-forms-field nf-element " value="no" aria-labelledby="nf-label-class-field-91_1-1" required="">
<label for="nf-field-91_1-1" id="nf-label-class-field-91_1-1" class="">No (please specify what you had trouble finding)</label>
</li>
</ul>
</div>
</div>
</div>
<div class="nf-after-field"><nf-section>
<div class="nf-input-limit"></div>
<div id="nf-error-91_1" class="nf-error-wrap nf-error" role="alert"></div>
</nf-section></div>
</div>
</nf-field><nf-field>
<div id="nf-field-101_1-container" class="nf-field-container textbox-container label-above ">
<div class="nf-before-field"><nf-section>
</nf-section></div>
<div class="nf-field">
<div id="nf-field-101_1-wrap" class="field-wrap textbox-wrap" data-field-id="101_1">
<div class="nf-field-label"><label for="nf-field-101_1" id="nf-label-field-101_1" class=""> </label></div>
<div class="nf-field-element">
<input type="text" value="" class="ninja-forms-field nf-element" placeholder="I had trouble finding..." id="nf-field-101_1" name="nf-field-101_1" aria-invalid="false" aria-describedby="nf-error-101_1"
aria-labelledby="nf-label-field-101_1">
</div>
</div>
</div>
<div class="nf-after-field"><nf-section>
<div class="nf-input-limit"></div>
<div id="nf-error-101_1" class="nf-error-wrap nf-error" role="alert"></div>
</nf-section></div>
</div>
</nf-field><nf-field>
<div id="nf-field-111_1-container" class="nf-field-container listradio-container label-above list-container">
<div class="nf-before-field"><nf-section>
</nf-section></div>
<div class="nf-field">
<div id="nf-field-111_1-wrap" class="field-wrap listradio-wrap list-wrap list-radio-wrap" data-field-id="111_1">
<div class="nf-field-label"><label for="nf-field-111_1" id="nf-label-field-111_1" class="">5. Did you use the search feature on the site? <span class="ninja-forms-req-symbol">*</span> </label></div>
<div class="nf-field-element">
<ul aria-describedby="nf-error-111_1">
<li>
<input type="radio" id="nf-field-111_1-0" name="nf-field-111_1" class="ninja-forms-field nf-element " value="yes" aria-labelledby="nf-label-class-field-111_1-0" required="">
<label for="nf-field-111_1-0" id="nf-label-class-field-111_1-0" class="">Yes</label>
</li>
<li>
<input type="radio" id="nf-field-111_1-1" name="nf-field-111_1" class="ninja-forms-field nf-element " value="no" aria-labelledby="nf-label-class-field-111_1-1" required="">
<label for="nf-field-111_1-1" id="nf-label-class-field-111_1-1" class="">No (please specify why)</label>
</li>
</ul>
</div>
</div>
</div>
<div class="nf-after-field"><nf-section>
<div class="nf-input-limit"></div>
<div id="nf-error-111_1" class="nf-error-wrap nf-error" role="alert"></div>
</nf-section></div>
</div>
</nf-field><nf-field>
<div id="nf-field-121_1-container" class="nf-field-container textbox-container label-above ">
<div class="nf-before-field"><nf-section>
</nf-section></div>
<div class="nf-field">
<div id="nf-field-121_1-wrap" class="field-wrap textbox-wrap" data-field-id="121_1">
<div class="nf-field-label"><label for="nf-field-121_1" id="nf-label-field-121_1" class=""> </label></div>
<div class="nf-field-element">
<input type="text" value="" class="ninja-forms-field nf-element" placeholder="I didn't use the search feature because..." id="nf-field-121_1" name="nf-field-121_1" aria-invalid="false" aria-describedby="nf-error-121_1"
aria-labelledby="nf-label-field-121_1">
</div>
</div>
</div>
<div class="nf-after-field"><nf-section>
<div class="nf-input-limit"></div>
<div id="nf-error-121_1" class="nf-error-wrap nf-error" role="alert"></div>
</nf-section></div>
</div>
</nf-field><nf-field>
<div id="nf-field-131_1-container" class="nf-field-container textarea-container label-above ">
<div class="nf-before-field"><nf-section>
</nf-section></div>
<div class="nf-field">
<div id="nf-field-131_1-wrap" class="field-wrap textarea-wrap" data-field-id="131_1">
<div class="nf-field-label"><label for="nf-field-131_1" id="nf-label-field-131_1" class="">6. What part of PA.gov was most useful to you? (Please specify) <span class="ninja-forms-req-symbol">*</span> </label></div>
<div class="nf-field-element">
<textarea id="nf-field-131_1" name="nf-field-131_1" aria-invalid="false" aria-describedby="nf-error-131_1" class="ninja-forms-field nf-element" placeholder="The part of PA.gov that was most useful to me was..."
aria-labelledby="nf-label-field-131_1" required=""></textarea>
</div>
</div>
</div>
<div class="nf-after-field"><nf-section>
<div class="nf-input-limit"></div>
<div id="nf-error-131_1" class="nf-error-wrap nf-error" role="alert"></div>
</nf-section></div>
</div>
</nf-field><nf-field>
<div id="nf-field-151_1-container" class="nf-field-container listradio-container label-above list-container">
<div class="nf-before-field"><nf-section>
</nf-section></div>
<div class="nf-field">
<div id="nf-field-151_1-wrap" class="field-wrap listradio-wrap list-wrap list-radio-wrap" data-field-id="151_1">
<div class="nf-field-label"><label for="nf-field-151_1" id="nf-label-field-151_1" class="">7. How would you describe yourself? (Select one) <span class="ninja-forms-req-symbol">*</span> </label></div>
<div class="nf-field-element">
<ul aria-describedby="nf-error-151_1">
<li>
<input type="radio" id="nf-field-151_1-0" name="nf-field-151_1" class="ninja-forms-field nf-element " value="pennsylvania-resident-non-government-employee" aria-labelledby="nf-label-class-field-151_1-0" required="">
<label for="nf-field-151_1-0" id="nf-label-class-field-151_1-0" class="">Pennsylvania resident (non-government employee)</label>
</li>
<li>
<input type="radio" id="nf-field-151_1-1" name="nf-field-151_1" class="ninja-forms-field nf-element " value="pennsylvania-resident-government-employee" aria-labelledby="nf-label-class-field-151_1-1" required="">
<label for="nf-field-151_1-1" id="nf-label-class-field-151_1-1" class="">Pennsylvania resident (government employee)</label>
</li>
<li>
<input type="radio" id="nf-field-151_1-2" name="nf-field-151_1" class="ninja-forms-field nf-element " value="prospective-pennsylvania-resident" aria-labelledby="nf-label-class-field-151_1-2" required="">
<label for="nf-field-151_1-2" id="nf-label-class-field-151_1-2" class="">Prospective Pennsylvania resident</label>
</li>
<li>
<input type="radio" id="nf-field-151_1-3" name="nf-field-151_1" class="ninja-forms-field nf-element " value="business-based-in-pennsylvania" aria-labelledby="nf-label-class-field-151_1-3" required="">
<label for="nf-field-151_1-3" id="nf-label-class-field-151_1-3" class="">Business based in Pennsylvania</label>
</li>
<li>
<input type="radio" id="nf-field-151_1-4" name="nf-field-151_1" class="ninja-forms-field nf-element " value="prospective-business-coming-to-pennsylvania" aria-labelledby="nf-label-class-field-151_1-4" required="">
<label for="nf-field-151_1-4" id="nf-label-class-field-151_1-4" class="">Prospective business coming to Pennsylvania</label>
</li>
<li>
<input type="radio" id="nf-field-151_1-5" name="nf-field-151_1" class="ninja-forms-field nf-element " value="other" aria-labelledby="nf-label-class-field-151_1-5" required="">
<label for="nf-field-151_1-5" id="nf-label-class-field-151_1-5" class="">Other (please specify)</label>
</li>
</ul>
</div>
</div>
</div>
<div class="nf-after-field"><nf-section>
<div class="nf-input-limit"></div>
<div id="nf-error-151_1" class="nf-error-wrap nf-error" role="alert"></div>
</nf-section></div>
</div>
</nf-field><nf-field>
<div id="nf-field-161_1-container" class="nf-field-container textbox-container label-above ">
<div class="nf-before-field"><nf-section>
</nf-section></div>
<div class="nf-field">
<div id="nf-field-161_1-wrap" class="field-wrap textbox-wrap" data-field-id="161_1">
<div class="nf-field-label"><label for="nf-field-161_1" id="nf-label-field-161_1" class=""> </label></div>
<div class="nf-field-element">
<input type="text" value="" class="ninja-forms-field nf-element" placeholder="I would describe myself as..." id="nf-field-161_1" name="nf-field-161_1" aria-invalid="false" aria-describedby="nf-error-161_1"
aria-labelledby="nf-label-field-161_1">
</div>
</div>
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<div class="nf-field-label"><label for="nf-field-341_1" id="nf-label-field-341_1" class="">8. Please rate PA.gov using the following criteria: 1 = strongly disagree, 2 = somewhat disagree, 3 = neither agree nor disagree, 4 = somewhat
agree, 5 = strongly agree. </label></div>
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<div class="nf-field-label"><label for="nf-field-162_1" id="nf-label-field-162_1" class="">PA.gov is easy to understand. </label></div>
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<div class="nf-field-label"><label for="nf-field-172_1" id="nf-label-field-172_1" class="">PA.gov met my needs today. </label></div>
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<div class="nf-field-label"><label for="nf-field-182_1" id="nf-label-field-182_1" class="">I can easily find information on PA.gov. </label></div>
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<div class="nf-field-label"><label for="nf-field-192_1" id="nf-label-field-192_1" class="">I can easily find services on PA.gov. </label></div>
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<input type="radio" name="nf-field-192_1" class="ninja-forms-field nf-element" value="1" style="display: none;">
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<div class="nf-field-label"><label for="nf-field-202_1" id="nf-label-field-202_1" class="">I would recommend PA.gov to friends. </label></div>
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