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surveyx-v2.web.app Open in urlscan Pro
2620:0:890::100  Public Scan

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URL: https://surveyx-v2.web.app/survey-x-landing/I6wgnIanyUGaZJbJGJvkzMfPzamoLgkk-KIgZevJmnmPJkidsBk-WWGYEmaNR6gVlH6lLgObeLBzC4Q...
Submission: On December 31 via api from OM — Scanned from DE

Form analysis 1 forms found in the DOM

<form _ngcontent-ekm-c120="" novalidate="" class="flex flex-col w-full items-center gap-6 ng-untouched ng-pristine ng-valid ng-star-inserted" style=""><span _ngcontent-ekm-c120="" class="ng-star-inserted">
    <h5 _ngcontent-ekm-c120="" class="text-center text-zen opacity-80">Fill the needed information to proceed.</h5>
  </span><!--bindings={
  "ng-reflect-ng-if": "true"
}-->
  <div _ngcontent-ekm-c120="" class="flex flex-row gap-3 w-full">
    <div _ngcontent-ekm-c120="" class="flex flex-col w-full"><mat-form-field _ngcontent-ekm-c120="" appearance="outline"
        class="mat-form-field w-full -mt-5 ng-tns-c156-2 mat-primary mat-form-field-type-mat-input mat-form-field-appearance-outline mat-form-field-can-float mat-form-field-has-label mat-form-field-hide-placeholder ng-untouched ng-pristine ng-valid ng-star-inserted"
        ng-reflect-appearance="outline" ng-reflect-dir="ltr" dir="ltr">
        <div class="mat-form-field-wrapper ng-tns-c156-2">
          <div class="mat-form-field-flex ng-tns-c156-2">
            <div class="mat-form-field-outline ng-tns-c156-2 ng-star-inserted">
              <div class="mat-form-field-outline-start ng-tns-c156-2" style="width: 7px;"></div>
              <div class="mat-form-field-outline-gap ng-tns-c156-2" style="width: 42.25px;"></div>
              <div class="mat-form-field-outline-end ng-tns-c156-2"></div>
            </div>
            <div class="mat-form-field-outline mat-form-field-outline-thick ng-tns-c156-2 ng-star-inserted">
              <div class="mat-form-field-outline-start ng-tns-c156-2" style="width: 7px;"></div>
              <div class="mat-form-field-outline-gap ng-tns-c156-2" style="width: 42.25px;"></div>
              <div class="mat-form-field-outline-end ng-tns-c156-2"></div>
            </div><!--ng-container--><!--bindings={
  "ng-reflect-ng-if": "true"
}--><!--bindings={
  "ng-reflect-ng-if": "0"
}-->
            <div class="mat-form-field-infix ng-tns-c156-2"><input _ngcontent-ekm-c120="" name="name" matinput=""
                class="mat-input-element mat-form-field-autofill-control ng-tns-c156-2 ng-untouched ng-pristine ng-valid cdk-text-field-autofill-monitored" ng-reflect-name="name" id="mat-input-0" aria-invalid="false" aria-required="false"><span
                class="mat-form-field-label-wrapper ng-tns-c156-2"><label class="mat-form-field-label ng-tns-c156-2 mat-empty mat-form-field-empty ng-star-inserted" ng-reflect-disabled="false" id="mat-form-field-label-1" ng-reflect-ng-switch="true"
                  for="mat-input-0" aria-owns="mat-input-0"><!--bindings={
  "ng-reflect-ng-switch-case": "false"
}--><mat-label _ngcontent-ekm-c120="" class="text-zen ng-tns-c156-2 ng-star-inserted">Name </mat-label><!--bindings={
  "ng-reflect-ng-switch-case": "true"
}--><!--bindings={
  "ng-reflect-ng-if": "false"
}--></label><!--bindings={
  "ng-reflect-ng-if": "true"
}--></span></div><!--bindings={
  "ng-reflect-ng-if": "0"
}-->
          </div><!--bindings={
  "ng-reflect-ng-if": "false"
}-->
          <div class="mat-form-field-subscript-wrapper ng-tns-c156-2" ng-reflect-ng-switch="hint"><!--bindings={
  "ng-reflect-ng-switch-case": "error"
}-->
            <div class="mat-form-field-hint-wrapper ng-tns-c156-2 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!--bindings={
  "ng-reflect-ng-if": ""
}-->
              <div class="mat-form-field-hint-spacer ng-tns-c156-2"></div>
            </div><!--bindings={
  "ng-reflect-ng-switch-case": "hint"
}-->
          </div>
        </div>
      </mat-form-field><!--bindings={
  "ng-reflect-ng-if": "false"
}--></div>
  </div>
  <div _ngcontent-ekm-c120="" class="is-relative" style="width: 100%;"><mat-form-field _ngcontent-ekm-c120="" appearance="outline"
      class="mat-form-field w-full -mt-5 ng-tns-c156-3 mat-primary mat-form-field-type-mat-input mat-form-field-appearance-outline mat-form-field-can-float mat-form-field-has-label mat-form-field-hide-placeholder ng-untouched ng-pristine ng-valid ng-star-inserted"
      ng-reflect-appearance="outline" ng-reflect-dir="ltr" dir="ltr">
      <div class="mat-form-field-wrapper ng-tns-c156-3">
        <div class="mat-form-field-flex ng-tns-c156-3">
          <div class="mat-form-field-outline ng-tns-c156-3 ng-star-inserted">
            <div class="mat-form-field-outline-start ng-tns-c156-3" style="width: 7px;"></div>
            <div class="mat-form-field-outline-gap ng-tns-c156-3" style="width: 40.75px;"></div>
            <div class="mat-form-field-outline-end ng-tns-c156-3"></div>
          </div>
          <div class="mat-form-field-outline mat-form-field-outline-thick ng-tns-c156-3 ng-star-inserted">
            <div class="mat-form-field-outline-start ng-tns-c156-3" style="width: 7px;"></div>
            <div class="mat-form-field-outline-gap ng-tns-c156-3" style="width: 40.75px;"></div>
            <div class="mat-form-field-outline-end ng-tns-c156-3"></div>
          </div><!--ng-container--><!--bindings={
  "ng-reflect-ng-if": "true"
}--><!--bindings={
  "ng-reflect-ng-if": "0"
}-->
          <div class="mat-form-field-infix ng-tns-c156-3"><input _ngcontent-ekm-c120="" type="email" name="email" matinput=""
              class="mat-input-element mat-form-field-autofill-control ng-tns-c156-3 ng-untouched ng-pristine ng-valid cdk-text-field-autofill-monitored" ng-reflect-type="email" ng-reflect-name="email"
              ng-reflect-pattern="^[a-zA-Z0-9._%+-]+@[a-z0-9.-]+" id="mat-input-1" aria-invalid="false" aria-required="false" pattern="^[a-zA-Z0-9._%+-]+@[a-z0-9.-]+.[a-z]{2,4}$"><span class="mat-form-field-label-wrapper ng-tns-c156-3"><label
                class="mat-form-field-label ng-tns-c156-3 mat-empty mat-form-field-empty ng-star-inserted" ng-reflect-disabled="false" id="mat-form-field-label-3" ng-reflect-ng-switch="true" for="mat-input-1" aria-owns="mat-input-1"><!--bindings={
  "ng-reflect-ng-switch-case": "false"
}--><mat-label _ngcontent-ekm-c120="" class="text-zen ng-tns-c156-3 ng-star-inserted">Email </mat-label><!--bindings={
  "ng-reflect-ng-switch-case": "true"
}--><!--bindings={
  "ng-reflect-ng-if": "false"
}--></label><!--bindings={
  "ng-reflect-ng-if": "true"
}--></span></div><!--bindings={
  "ng-reflect-ng-if": "0"
}-->
        </div><!--bindings={
  "ng-reflect-ng-if": "false"
}-->
        <div class="mat-form-field-subscript-wrapper ng-tns-c156-3" ng-reflect-ng-switch="hint"><!--bindings={
  "ng-reflect-ng-switch-case": "error"
}-->
          <div class="mat-form-field-hint-wrapper ng-tns-c156-3 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!--bindings={
  "ng-reflect-ng-if": ""
}-->
            <div class="mat-form-field-hint-spacer ng-tns-c156-3"></div>
          </div><!--bindings={
  "ng-reflect-ng-switch-case": "hint"
}-->
        </div>
      </div>
    </mat-form-field><!--bindings={
  "ng-reflect-ng-if": "false"
}--></div><a _ngcontent-ekm-c120="" class="btn uppercase leading-15 px-5 rounded-lg w-1/3 text-center exp">Continue</a>
</form>

Text Content

FILL THE NEEDED INFORMATION TO PROCEED.

Name

Email

Continue