cybernetix01.iv.navvis.com Open in urlscan Pro
3.120.117.253  Public Scan

Form analysis
1 forms found in the DOM

Name: feedback —

<form name="feedback" ng-submit="vm.sendFeedback()" novalidate="" class="ng-pristine ng-valid-email ng-invalid ng-invalid-required">
  <div class="form-group"> <span translate="" translate-context="followed by *-symbol (also translatable)">Fields marked with this symbol are required:</span>
    <required><span translate="" translate-context="Marker used for marking required fields in forms.">*</span> </required>
  </div>
  <div class="form-group"> <label translate="">First name</label> <input type="text" class="form-control ng-pristine ng-untouched ng-valid ng-empty" name="first_name" ng-model="vm.feedbackModel.firstName"> </div>
  <div class="form-group"> <label translate="">Last name</label> <input type="text" class="form-control ng-pristine ng-untouched ng-valid ng-empty" name="last_name" ng-model="vm.feedbackModel.lastName"> </div>
  <div class="form-group"> <label translate="">Email address</label>
    <required><span translate="" translate-context="Marker used for marking required fields in forms.">*</span> </required> <input type="email" class="form-control ng-pristine ng-untouched ng-empty ng-valid-email ng-invalid ng-invalid-required"
      name="user_email" ng-model="vm.feedbackModel.userEmail" required="">
    <p ng-show="feedback.user_email.$invalid &amp;&amp; !feedback.user_email.$pristine" class="help-block ng-hide" translate="">Please enter a valid email address</p>
  </div>
  <div class="form-group"> <label translate="">Feedback type</label> <select class="form-control ng-pristine ng-untouched ng-valid ng-empty" name="feedback_type" ng-model="vm.feedbackModel.feedbackType">
      <option value="? undefined:undefined ?" selected="selected"></option>
      <option value="Error" translate="">Error</option>
      <option value="Suggestion" translate="">Suggestion</option>
    </select> </div>
  <div class="form-group"> <label translate="">Message</label>
    <required><span translate="" translate-context="Marker used for marking required fields in forms.">*</span> </required> <textarea class="form-control ng-pristine ng-untouched ng-empty ng-invalid ng-invalid-required" rows="5" name="message"
      ng-model="vm.feedbackModel.message" required="">							</textarea>
  </div>
  <div ng-bind-html="vm.getDataPrivacyAsHtml()" class="ng-binding"></div> <!-- ngIf: vm.isDataPrivacyAgreementRequired() -->
  <div class="form-group text-right"> <span ng-show="vm.isRequestInProgress()" class="spinner next-to-btngroup ng-hide"> <img class="in-btn-group" ng-src="https://cybernetix01.iv.navvis.com/0b1f967d71b0d728c39b.svg"
        src="https://cybernetix01.iv.navvis.com/0b1f967d71b0d728c39b.svg"> </span>
    <div class="btn-group" role="group" aria-label="..."> <button type="button" class="btn btn-default" data-dismiss="modal" translate="">Close</button> <button type="submit" class="btn btn-primary"
        ng-disabled="feedback.$invalid || vm.waitingForResponse" translate="" disabled="disabled">Submit</button> </div>
  </div>
</form>

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FEEDBACK FORM

Fields marked with this symbol are required: *
First name
Last name
Email address *

Please enter a valid email address

Feedback type Error Suggestion
Message *

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