services2.ctsmartdesk.com
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URL:
https://services2.ctsmartdesk.com/SSP/admin/FormBuilder/FormEngine/FormEngine.aspx?urlkey=df06071e-094f-4069-ac29-f6be06956413&pid...
Submission: On October 24 via manual from US — Scanned from DE
Submission: On October 24 via manual from US — Scanned from DE
Form analysis 1 forms found in the DOM
POST ./FormEngine.aspx?urlkey=df06071e-094f-4069-ac29-f6be06956413&pid=486&sid=179407&mspg=anonymous&ClientInstance=Shared
<form method="post" action="./FormEngine.aspx?urlkey=df06071e-094f-4069-ac29-f6be06956413&pid=486&sid=179407&mspg=anonymous&ClientInstance=Shared" id="aspnetForm" novalidate="novalidate">
<div class="aspNetHidden">
<input type="hidden" name="__VIEWSTATE" id="__VIEWSTATE"
value="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">
</div>
<div class="aspNetHidden">
<input type="hidden" name="__VIEWSTATEGENERATOR" id="__VIEWSTATEGENERATOR" value="CB7B4EBE">
<input type="hidden" name="__VIEWSTATEENCRYPTED" id="__VIEWSTATEENCRYPTED" value="">
<input type="hidden" name="__EVENTVALIDATION" id="__EVENTVALIDATION"
value="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">
</div>
<div class="container">
<header class="main-header custom-header">
<header class="main-header"><!--<header class="header-master header-master-white">
<div class="col-sm-4 col-md-3 col-lg-3">
<div class="logo logo-master">
<img class="img-responsive">
</div>
</div>
<div class="col-sm-4 col-md-6 col-lg-6 text-center">
<h2 class="header-heading">Self Service Portal</h2>
</div><div class="col-sm-4 col-md-3 col-lg-3 ">
<nav class="navbar navbar-static-top" role="navigation">
<div class="navbar-header-right">
<ul class="nav navbar-nav navbar-right"><li>
<label class="user-name"> Welcome
<span id="cmsusersfullname" class="logged-user">hcgh-jmyers</span>
</label><div><span></span><span class="pull-right">
<a href="/Admin/SSPLogOut.aspx" class="profile-menu">
<i class="fa fa-power-off" aria-hidden="true" alt="" title="Log Out" class="icon-header-right"></i> Log Out</a>
</span></div></li></ul></div></nav></div></header>-->
<!--New UI -->
<!-- Logo -->
<div class="logo">
<!-- mini logo for sidebar mini 50x50 pixels -->
<span class="logo-mini logo-master">
<img class="Center-block " src="..\Templates\SMNJ\Logo.png">
</span>
<!-- logo for regular state and mobile devices -->
<span class="logo-lg logo-master">
<img class="Center-block" src="..\Templates\SMNJ\Logo.png">
</span>
</div>
<!-- Header Navbar -->
<nav class="navbar navbar-static-top" role="navigation">
<!-- Sidebar toggle button-->
<!-- Navbar Right Menu -->
<a href="#" class="sidebar-toggle sidebar-toggle-mobile" data-toggle="offcanvas" role="button" style="display: inline;">
<span class="sr-only">Toggle navigation</span>
</a>
<!--<div class="navbar-custom-menu">
<ul class="nav navbar-nav navbar-right">
<li>
<label class="user-name">
<strong>Welcome !</strong>
<span id="cmsusersfullname" class="logged-user">hcgh-jmyers</span>
</label>
<br />
<div>
<span>
<img src="../Images/icon_clock.png" />
<b id=''><small id='LiveClock'>00:00:01</small></b>
</span>
<span class="pull-right">
<a href="../../SSPLogOut.aspx" class="profile-menu">
<i class="fa fa-power-off" aria-hidden="true" alt="" title="Log Out" class="icon-header-right"></i> Log Out
</a>
</span>
</div>
</li>
</ul>
</div>-->
</nav>
</header>
</header>
</div>
<!--<div class="container">
<div class="custom-banner"></div>
</div>-->
<div class="container">
<div class="main-content-wrapper">
<div>
<section class="content">
<div class="row">
<div class="col-lg-12 col-md-12 col-sm-12 paddingleft7">
<div class="col-lg-12 col-md-12 col-sm-12 create-right">
<div class="right-contentarea" style="overflow: hidden auto; min-height: 1075px; height: 1075px;">
<!-- global ajax loader -->
<!-- global ajax loader -->
<div id="ctl00_FBEngineContentPlaceHolder_divScriptsRef" class="script-ref-div"></div>
<div id="fbUserForm">
<div id="designContainer">
<div class="row">
<div class="drop-zone ui-droppable ui-droppable-disabled col-lg-12 col-md-12 col-sm-12 col-xs-12" data-type="label">
<div class="form-elements">
<div class="form-group">
<div style="text-align:center;font-size:20pt;"><label data-controlid="MainHeading" id="span_class_1_label" style="word-break:break-all;" tabindex="0"><span class="barn-main-heading"> Customer Satisfaction Survey
</span></label></div><input type="hidden" class="hdnElementId" name="label" cusid="span_class_1_label" data-elementid="20" data-encrypted="false" data-shared="false" data-formelementid="28054"
data-elementcolumnname="MainHeading_2753_28054">
</div>
</div>
</div>
</div>
<div class="row">
<div class="drop-zone ui-droppable ui-droppable-disabled col-lg-3 col-md-3 col-sm-3 col-xs-3" data-type="label" id="dz_span_class_2_label">
<div class="form-elements showBorder">
<div class="field-option showedit">
<div class="options edit"><a class="center-block" title="Edit"><i class="fa fa-edit fa-lg"></i> <br></a></div>
<div class="options copy"><a class="center-block" title="Copy"><i class="fa fa-clone fa-lg"></i> <br></a></div>
<div class="options cut"><a class="center-block" title="Cut"><i class="fa fa-scissors fa-lg"></i><br></a></div>
<div class="delete options" title="Delete"><a><i class="fa fa-trash fa-lg"></i><br></a></div>
<div class="make-smaller options" title="Reduce Size"><a><i class="fa fa-angle-double-left fa-lg"></i><br></a></div>
<div class="make-bigger options" title="Increase Size"> <a><i class="fa fa-angle-double-right fa-lg"></i><br></a></div>
</div>
<div class="form-group">
<div style="text-align:left;font-size:10pt;"><label data-controlid="SurveyHeading1" id="span_class_2_label" tabindex="0"><span class="barn-survey-heading"> Survey for </span></label></div><input type="hidden"
class="hdnElementId" name="label" cusid="span_class_2_label" data-elementid="20" data-encrypted="false" data-shared="false" data-formelementid="28055" data-elementcolumnname="SurveyHeading1_2753_28055">
</div>
</div>
</div>
<div class="drop-zone ui-droppable ui-droppable-disabled col-lg-4 col-md-4 col-sm-4 col-xs-4" data-type="text">
<div class="form-elements">
<div class="form-group"><label class="control-label" for="SRNumber_3_txt" id="lblSRNumber_3_txt" style="word-break: break-all; display: none;">SRNumber:</label>
<div><input type="text" title="" aria-required="false" aria-labeledby="lblSRNumber_3_txt" class="validateNullOrWhiteSpace" id="SRNumber_3_txt" name="SRNumber_3_txt" data-encrypted="false" data-shared="true"
data-controlid="SRNumber" readonly="readonly" style="border:none;background-color:white;font-weight:700;color:blue;text-decoration:underline;cursor:pointer!important;" tabindex="100"></div><input type="hidden"
class="hdnElementId" name="text-field" cusid="SRNumber_3_txt" data-elementid="1" data-encrypted="false" data-shared="true" data-varid="0" data-varcode="" data-sharedformelementid="16659" data-sharedid="0"
data-elementcolumnname="SRNumber_2753_49500" data-formelementid="49500">
</div>
</div>
</div>
</div>
<div class="row">
<div class="drop-zone ui-droppable ui-droppable-disabled col-lg-3 col-md-3 col-sm-3 col-xs-3" data-type="label">
<div class="form-elements">
<div class="form-group">
<div style="text-align:left;font-size:10pt;"><label data-controlid="SurveyHeading3" id="span_615_1_label" tabindex="0" style="display: none;"><span class="barn-survey-heading"> Service Request Survey for </span></label>
</div><input type="hidden" class="hdnElementId" name="label" cusid="span_615_1_label" data-elementid="20" data-encrypted="false" data-shared="false" data-varid="0" data-varcode="" data-formelementid="28084"
data-elementcolumnname="SurveyHeading3_2753_28084">
</div>
</div>
</div>
<div class="drop-zone ui-droppable col-lg-9 col-md-9 col-sm-9 col-xs-9 ui-droppable-disabled" data-type="text">
<div class="form-elements">
<div class="form-group"><label class="control-label" for="VRNumber_2_txt" id="lblVRNumber_2_txt" style="display: none;">VRNumber:</label>
<div><input type="text" disabled="" title="" aria-required="false" aria-labeledby="lblVRNumber_2_txt" class="form-control validateNullOrWhiteSpace" id="VRNumber_2_txt" name="VRNumber_2_txt" data-encrypted="false"
data-shared="true" data-controlid="VRNumber" tabindex="100" style="display: none;"></div><input type="hidden" class="hdnElementId" name="text-field" cusid="VRNumber_2_txt" data-elementid="1" data-encrypted="false"
data-shared="true" data-varid="0" data-varcode="" data-sharedformelementid="36517" data-sharedid="0" data-elementcolumnname="VRNumber_2753_49513" data-formelementid="49513">
</div>
</div>
</div>
</div>
<div class="row">
<div class="drop-zone ui-droppable ui-droppable-disabled col-lg-12 col-md-12 col-sm-12 col-xs-12" data-type="label">
<div class="form-elements">
<div class="form-group">
<div style="text-align:left;font-size:10pt;"><label data-controlid="SurveyLabel1" id="span_class_4_label" style="word-break:break-all;" tabindex="0"><span class="barn-survey-label"> If we did not meet your expectations
of all questions, please leave us a comment so that we can serve you better next time </span></label></div><input type="hidden" class="hdnElementId" name="label" cusid="span_class_4_label" data-elementid="20"
data-encrypted="false" data-shared="false" data-varid="0" data-varcode="" data-formelementid="28056" data-elementcolumnname="SurveyLabel1_2753_28056">
</div>
</div>
</div>
</div>
<div class="row">
<div class="drop-zone ui-droppable ui-droppable-disabled col-lg-12 col-md-12 col-sm-12 col-xs-12" data-type="line">
<div class="form-elements">
<div class="form-group">
<hr data-controlid="LINE_SEPARATOR_1" style="visibility:hidden;"><br><input type="hidden" class="hdnElementId" name="line" cusid="HorzLine_5hr" data-elementid="19" data-encrypted="false" data-shared="false"
data-varid="0" data-varcode="" data-formelementid="28057" data-elementcolumnname="LINE_SEPARATOR_1_2753_28057">
</div>
</div>
</div>
</div>
<div class="row">
<div class="drop-zone ui-droppable ui-droppable-disabled col-lg-3 col-md-3 col-sm-3 col-xs-3" data-type="label">
<div class="form-elements">
<div class="form-group">
<div style="text-align:left;font-size:10pt;"><label data-controlid="SurveyHeading2" id="span_class_6_label" style="word-break:break-all;" tabindex="0"><span class="barn-survey-heading2"> Case Description: </span></label>
</div><input type="hidden" class="hdnElementId" name="label" cusid="span_class_6_label" data-elementid="20" data-encrypted="false" data-shared="false" data-varid="0" data-varcode="" data-formelementid="28058"
data-elementcolumnname="SurveyHeading2_2753_28058">
</div>
</div>
</div>
<div class="drop-zone ui-droppable col-lg-9 col-md-9 col-sm-9 col-xs-9 ui-droppable-disabled" data-type="text">
<div class="form-elements">
<div class="form-group"><label class="control-label" for="SRDescript_7_txt" id="lblSRDescript_7_txt" style="word-break: break-all; display: none;">SRDescription:</label>
<div><input type="text" disabled="" title="" aria-required="false" aria-labeledby="lblSRDescript_7_txt" class="validateNullOrWhiteSpace" id="SRDescript_7_txt" name="SRDescript_7_txt" data-encrypted="false"
data-shared="true" data-controlid="SRDescription" style="border:none;background-color:white;width:100%" tabindex="100"></div><input type="hidden" class="hdnElementId" name="text-field" cusid="SRDescript_7_txt"
data-elementid="1" data-encrypted="false" data-shared="true" data-varid="0" data-varcode="" data-sharedformelementid="16660" data-sharedid="0" data-elementcolumnname="SRDescription_2753_49501"
data-formelementid="49501">
</div>
</div>
</div>
</div>
<div class="row">
<div class="drop-zone ui-droppable ui-droppable-disabled col-lg-12 col-md-12 col-sm-12 col-xs-12" data-type="line">
<div class="form-elements">
<div class="form-group">
<hr data-controlid="LINE_SEPARATOR_2" style="visibility:hidden;"><br><input type="hidden" class="hdnElementId" name="line" cusid="HorzLine_8hr" data-elementid="19" data-encrypted="false" data-shared="false"
data-varid="0" data-varcode="" data-formelementid="28059" data-elementcolumnname="LINE_SEPARATOR_2_2753_28059">
</div>
</div>
</div>
</div>
<div class="row">
<div class="drop-zone ui-droppable ui-droppable-disabled col-lg-5 col-md-5 col-sm-5 col-xs-5" data-type="label">
<div class="form-elements">
<div class="form-group">
<div style="text-align:left;font-size:12pt;"><label data-controlid="QuestionsHeading" id="span_class_9_label" style="word-break:break-all;" tabindex="0"><span class="barn-survey-question-heading"> Questions
</span></label></div><input type="hidden" class="hdnElementId" name="label" cusid="span_class_9_label" data-elementid="20" data-encrypted="false" data-shared="false" data-varid="0" data-varcode=""
data-formelementid="28060" data-elementcolumnname="QuestionsHeading_2753_28060">
</div>
</div>
</div>
<div class="drop-zone ui-droppable ui-droppable-disabled col-lg-2 col-md-2 col-sm-2 col-xs-2" data-type="label">
<div class="form-elements">
<div class="form-group">
<div style="text-align:left;font-size:12pt;"><label data-controlid="RatingHeading" id="span_class_10_label" style="word-break:break-all;" tabindex="0"><span class="barn-survey-rating-heading"> Rating <span
class="mandatory">*</span>
</span></label></div><input type="hidden" class="hdnElementId" name="label" cusid="span_class_10_label" data-elementid="20" data-encrypted="false" data-shared="false" data-varid="0" data-varcode=""
data-formelementid="28061" data-elementcolumnname="RatingHeading_2753_28061">
</div>
</div>
</div>
<div class="drop-zone ui-droppable col-lg-5 col-md-5 col-sm-5 col-xs-5 ui-droppable-disabled" data-type="label">
<div class="form-elements">
<div class="form-group">
<div style="text-align:left;font-size:12pt;"><label data-controlid="CommentsHeading" id="span_class_11_label" style="word-break:break-all;" tabindex="0"><span class="barn-survey-comments-heading"> Comments (max 250
characters) </span></label></div><input type="hidden" class="hdnElementId" name="label" cusid="span_class_11_label" data-elementid="20" data-encrypted="false" data-shared="false" data-varid="0" data-varcode=""
data-formelementid="28062" data-elementcolumnname="CommentsHeading_2753_28062">
</div>
</div>
</div>
</div>
<div class="row">
<div class="drop-zone ui-droppable ui-droppable-disabled col-lg-5 col-md-5 col-sm-5 col-xs-5" data-type="label">
<div class="form-elements">
<div class="form-group">
<div style="text-align:left;font-size:10pt;"><label data-controlid="lblQuestion1" id="span_6_1_label" tabindex="0"><span class="barn-survey-question"> 1. The support team was professional and courteous. </span></label>
</div><input type="hidden" class="hdnElementId" name="label" cusid="span_6_1_label" data-elementid="20" data-encrypted="false" data-shared="false" data-formelementid="28070"
data-elementcolumnname="lblQuestion1_2753_28070">
</div>
</div>
</div>
<div class="drop-zone ui-droppable ui-droppable-disabled col-lg-2 col-md-2 col-sm-2 col-xs-2" data-type="dropdown">
<div class="form-elements">
<div class="form-group"><label class="control-label " for="Rating1_13dropdown_grp" style="word-break: break-all; width: 100%; display: none;">Rating1:<span class="mandatory">*</span></label>
<div><select id="Rating1_13dropdown_grp" name="Rating1_13dropdown_grp" class="form-control select_position_bottom " title="" required="" data-encrypted="false" data-shared="true" data-controlid="Rating1"
data-is-bindable="true" data-source-type="List Of Values" isloaded="true" aria-required="true" tabindex="1">
<option value="">Select</option>
<option value="5">5 - Strongly Agree</option>
<option value="4">4 - Agree</option>
<option value="3">3 - Neutral</option>
<option value="2">2 - Disagree</option>
<option value="1">1 - Strongly Disagree</option>
<option value="0">N/A</option>
</select></div><input type="hidden" class="hdnElementId" name="dropdown" cusid="Rating1_13dropdown_grp" data-elementid="6" data-encrypted="false" data-shared="true" data-varid="0" data-varcode=""
data-sharedformelementid="16661" data-sharedid="0" data-elementcolumnname="Rating1_2753_49502" data-formelementid="49502">
</div>
</div>
</div>
<div class="drop-zone ui-droppable ui-droppable-disabled col-lg-5 col-md-5 col-sm-5 col-xs-5" data-type="text">
<div class="form-elements">
<div class="form-group"><label class="control-label" for="Comments1_14_txt" id="lblComments1_14_txt" style="word-break: break-all; display: none;">Comments1:</label>
<div><textarea enabled="" title="" aria-required="false" aria-labeledby="lblComments1_14_txt" maxlength="250" class="form-control validateNullOrWhiteSpace" id="Comments1_14_txt" name="Comments1_14_txt"
data-encrypted="false" data-shared="true" data-controlid="Comments1" tabindex="2"></textarea></div><input type="hidden" class="hdnElementId" name="text-field" cusid="Comments1_14_txt" data-elementid="1"
data-encrypted="false" data-shared="true" data-varid="0" data-varcode="" data-sharedformelementid="16662" data-sharedid="0" data-elementcolumnname="Comments1_2753_49503" data-formelementid="49503">
</div>
</div>
</div>
</div>
<div class="row">
<div class="drop-zone ui-droppable ui-droppable-disabled col-lg-5 col-md-5 col-sm-5 col-xs-5" data-type="label">
<div class="form-elements">
<div class="form-group">
<div style="text-align:left;font-size:10pt;"><label data-controlid="lblQuestion2" id="span_265_2_label" tabindex="0"><span class="barn-survey-question"> 2. The support team provided clear information on the nature of my
problem and resolution. </span></label></div><input type="hidden" class="hdnElementId" name="label" cusid="span_265_2_label" data-elementid="20" data-encrypted="false" data-shared="false" data-formelementid="28071"
data-elementcolumnname="lblQuestion2_2753_28071">
</div>
</div>
</div>
<div class="drop-zone ui-droppable ui-droppable-disabled col-lg-2 col-md-2 col-sm-2 col-xs-2" data-type="dropdown">
<div class="form-elements">
<div class="form-group"><label class="control-label " for="Rating2_16dropdown_grp" style="word-break: break-all; width: 100%; display: none;">Rating2:<span class="mandatory">*</span></label>
<div><select id="Rating2_16dropdown_grp" name="Rating2_16dropdown_grp" class="form-control select_position_bottom " title="" required="" data-encrypted="false" data-shared="true" data-controlid="Rating2"
data-is-bindable="true" data-source-type="List Of Values" isloaded="true" aria-required="true" tabindex="3">
<option value="">Select</option>
<option value="5">5 - Strongly Agree</option>
<option value="4">4 - Agree</option>
<option value="3">3 - Neutral</option>
<option value="2">2 - Disagree</option>
<option value="1">1 - Strongly Disagree</option>
<option value="0">N/A</option>
</select></div><input type="hidden" class="hdnElementId" name="dropdown" cusid="Rating2_16dropdown_grp" data-elementid="6" data-encrypted="false" data-shared="true" data-varid="0" data-varcode=""
data-sharedformelementid="16663" data-sharedid="0" data-elementcolumnname="Rating2_2753_49504" data-formelementid="49504">
</div>
</div>
</div>
<div class="drop-zone ui-droppable ui-droppable-disabled col-lg-5 col-md-5 col-sm-5 col-xs-5" data-type="text">
<div class="form-elements">
<div class="form-group"><label class="control-label" for="Comments2_17_txt" id="lblComments2_17_txt" style="word-break: break-all; display: none;">Comments2:</label>
<div><textarea enabled="" title="" aria-required="false" aria-labeledby="lblComments2_17_txt" maxlength="250" class="form-control validateNullOrWhiteSpace" id="Comments2_17_txt" name="Comments2_17_txt"
data-encrypted="false" data-shared="true" data-controlid="Comments2" tabindex="4"></textarea></div><input type="hidden" class="hdnElementId" name="text-field" cusid="Comments2_17_txt" data-elementid="1"
data-encrypted="false" data-shared="true" data-varid="0" data-varcode="" data-sharedformelementid="16664" data-sharedid="0" data-elementcolumnname="Comments2_2753_49505" data-formelementid="49505">
</div>
</div>
</div>
</div>
<div class="row">
<div class="drop-zone ui-droppable ui-droppable-disabled col-lg-5 col-md-5 col-sm-5 col-xs-5" data-type="label">
<div class="form-elements">
<div class="form-group">
<div style="text-align:left;font-size:10pt;"><label data-controlid="lblQuestion3" id="span_class_3_label" tabindex="0"><span class="barn-survey-question"> 3. The support team responded in a timely manner to my question
or problem. </span></label></div><input type="hidden" class="hdnElementId" name="label" cusid="span_class_3_label" data-elementid="20" data-encrypted="false" data-shared="false" data-formelementid="28072"
data-elementcolumnname="lblQuestion3_2753_28072">
</div>
</div>
</div>
<div class="drop-zone ui-droppable ui-droppable-disabled col-lg-2 col-md-2 col-sm-2 col-xs-2" data-type="dropdown">
<div class="form-elements">
<div class="form-group"><label class="control-label " for="Rating3_19dropdown_grp" style="word-break: break-all; width: 100%; display: none;">Rating3:<span class="mandatory">*</span></label>
<div><select id="Rating3_19dropdown_grp" name="Rating3_19dropdown_grp" class="form-control select_position_bottom " title="" required="" data-encrypted="false" data-shared="true" data-controlid="Rating3"
data-is-bindable="true" data-source-type="List Of Values" isloaded="true" aria-required="true" tabindex="5">
<option value="">Select</option>
<option value="5">5 - Strongly Agree</option>
<option value="4">4 - Agree</option>
<option value="3">3 - Neutral</option>
<option value="2">2 - Disagree</option>
<option value="1">1 - Strongly Disagree</option>
<option value="0">N/A</option>
</select></div><input type="hidden" class="hdnElementId" name="dropdown" cusid="Rating3_19dropdown_grp" data-elementid="6" data-encrypted="false" data-shared="true" data-varid="0" data-varcode=""
data-sharedformelementid="16665" data-sharedid="0" data-elementcolumnname="Rating3_2753_49506" data-formelementid="49506">
</div>
</div>
</div>
<div class="drop-zone ui-droppable col-lg-5 col-md-5 col-sm-5 col-xs-5 ui-droppable-disabled" data-type="text">
<div class="form-elements">
<div class="form-group"><label class="control-label" for="Comments3_20_txt" id="lblComments3_20_txt" style="word-break: break-all; display: none;">Comments3:</label>
<div><textarea enabled="" title="" aria-required="false" aria-labeledby="lblComments3_20_txt" maxlength="250" class="form-control validateNullOrWhiteSpace" id="Comments3_20_txt" name="Comments3_20_txt"
data-encrypted="false" data-shared="true" data-controlid="Comments3" tabindex="6"></textarea></div><input type="hidden" class="hdnElementId" name="text-field" cusid="Comments3_20_txt" data-elementid="1"
data-encrypted="false" data-shared="true" data-varid="0" data-varcode="" data-sharedformelementid="16666" data-sharedid="0" data-elementcolumnname="Comments3_2753_49507" data-formelementid="49507">
</div>
</div>
</div>
</div>
<div class="row">
<div class="drop-zone ui-droppable ui-droppable-disabled col-lg-5 col-md-5 col-sm-5 col-xs-5" data-type="label">
<div class="form-elements">
<div class="form-group">
<div style="text-align:left;font-size:10pt;"><label data-controlid="lblQuestion4" id="span_920_4_label" tabindex="0"><span class="barn-survey-question"> 4. The support team resolved my problem in a timely manner.
</span></label></div><input type="hidden" class="hdnElementId" name="label" cusid="span_920_4_label" data-elementid="20" data-encrypted="false" data-shared="false" data-formelementid="28073"
data-elementcolumnname="lblQuestion4_2753_28073">
</div>
</div>
</div>
<div class="drop-zone ui-droppable ui-droppable-disabled col-lg-2 col-md-2 col-sm-2 col-xs-2" data-type="dropdown">
<div class="form-elements">
<div class="form-group"><label class="control-label " for="Rating4_22dropdown_grp" style="word-break: break-all; width: 100%; display: none;">Rating4:<span class="mandatory">*</span></label>
<div><select id="Rating4_22dropdown_grp" name="Rating4_22dropdown_grp" class="form-control select_position_bottom " title="" required="" data-encrypted="false" data-shared="true" data-controlid="Rating4"
data-is-bindable="true" data-source-type="List Of Values" isloaded="true" aria-required="true" tabindex="7">
<option value="">Select</option>
<option value="5">5 - Strongly Agree</option>
<option value="4">4 - Agree</option>
<option value="3">3 - Neutral</option>
<option value="2">2 - Disagree</option>
<option value="1">1 - Strongly Disagree</option>
<option value="0">N/A</option>
</select></div><input type="hidden" class="hdnElementId" name="dropdown" cusid="Rating4_22dropdown_grp" data-elementid="6" data-encrypted="false" data-shared="true" data-varid="0" data-varcode=""
data-sharedformelementid="16667" data-sharedid="0" data-elementcolumnname="Rating4_2753_49508" data-formelementid="49508">
</div>
</div>
</div>
<div class="drop-zone ui-droppable col-lg-5 col-md-5 col-sm-5 col-xs-5 ui-droppable-disabled" data-type="text">
<div class="form-elements">
<div class="form-group"><label class="control-label" for="Comments4_23_txt" id="lblComments4_23_txt" style="word-break: break-all; display: none;">Comments4:</label>
<div><textarea enabled="" title="" aria-required="false" aria-labeledby="lblComments4_23_txt" maxlength="250" class="form-control validateNullOrWhiteSpace" id="Comments4_23_txt" name="Comments4_23_txt"
data-encrypted="false" data-shared="true" data-controlid="Comments4" tabindex="8"></textarea></div><input type="hidden" class="hdnElementId" name="text-field" cusid="Comments4_23_txt" data-elementid="1"
data-encrypted="false" data-shared="true" data-varid="0" data-varcode="" data-sharedformelementid="16668" data-sharedid="0" data-elementcolumnname="Comments4_2753_49509" data-formelementid="49509">
</div>
</div>
</div>
</div>
<div class="row">
<div class="drop-zone ui-droppable ui-droppable-disabled col-lg-12 col-md-12 col-sm-12 col-xs-12" data-type="line">
<div class="form-elements">
<div class="form-group">
<hr data-controlid="LINE_SEPARATOR_3" style="visibility:hidden;"><br><input type="hidden" class="hdnElementId" name="line" cusid="HorzLine_24hr" data-elementid="19" data-encrypted="false" data-shared="false"
data-varid="0" data-varcode="" data-formelementid="28063" data-elementcolumnname="LINE_SEPARATOR_3_2753_28063">
</div>
</div>
</div>
</div>
<div class="row">
<div class="drop-zone ui-droppable ui-droppable-disabled col-lg-12 col-md-12 col-sm-12 col-xs-12" data-type="label">
<div class="form-elements">
<div class="form-group">
<div style="text-align:left;font-size:10pt;"><label data-controlid="FeedbackLabel" id="span_class_25_label" style="word-break:break-all;" tabindex="0"><span class="barn-survey-feedback-label"> When you have completed the
survey, please click the Submit button to submit the survey. We appreciate your feedback </span></label></div><input type="hidden" class="hdnElementId" name="label" cusid="span_class_25_label" data-elementid="20"
data-encrypted="false" data-shared="false" data-varid="0" data-varcode="" data-formelementid="28064" data-elementcolumnname="FeedbackLabel_2753_28064">
</div>
</div>
</div>
</div>
<div class="row"></div>
<div class="row"></div>
<div class="row">
<div class="drop-zone ui-droppable ui-droppable-disabled col-lg-12 col-md-12 col-sm-12 col-xs-12" data-type="button">
<div class="form-elements">
<div class="form-group"><label for="Submit_1_button" id="lblSubmit_1_button" class="control-label custom-btn-top">:</label>
<div>
<div class="btn-div padding-left-0 padding-right-0 custom-btn-right">
<a data-controlid="Submit" id="Submit_1_button" href="javascript:void(0);" class="btn btn-theme-based" value="Submit" style="white-space: normal;" aria-labeledby="lblSubmit_1_button" tabindex="9"><span class="button-caption">Submit</span></a>
</div>
</div><input type="hidden" class="hdnElementId" name="button" cusid="Submit_1_button" data-elementid="22" data-encrypted="false" data-shared="false" data-formelementid="28080" data-elementcolumnname="Submit_2753_28080">
</div>
</div>
</div>
</div>
<div class="row">
<div class="drop-zone ui-droppable ui-droppable-disabled col-lg-3 col-md-3 col-sm-3 col-xs-3" data-type="text" style="display: none;">
<div class="form-elements">
<div class="form-group"><label class="control-label" for="SRAssigned_26_txt" id="lblSRAssigned_26_txt" style=" ">SRAssignedGroup:</label>
<div><input type="text" disabled="" title="" aria-required="false" aria-labeledby="lblSRAssigned_26_txt" class="form-control validateNullOrWhiteSpace" id="SRAssigned_26_txt" name="SRAssigned_26_txt"
data-encrypted="false" data-shared="true" data-controlid="SRAssignedGroup" tabindex="100"></div><input type="hidden" class="hdnElementId" name="text-field" cusid="SRAssigned_26_txt" data-elementid="1"
data-encrypted="false" data-shared="true" data-sharedformelementid="31856" data-sharedid="0" data-elementcolumnname="SRAssignedGroup_2753_49512" data-formelementid="49512">
</div>
</div>
</div>
<div class="drop-zone ui-droppable ui-droppable-disabled col-lg-2 col-md-2 col-sm-2 col-xs-2" data-type="text" style="display: none;">
<div class="form-elements">
<div class="form-group"><label class="control-label" for="Client_27_txt" id="lblClient_27_txt" style=" ">Client:</label>
<div><input type="text" disabled="" title="" aria-required="false" aria-labeledby="lblClient_27_txt" class="form-control validateNullOrWhiteSpace" id="Client_27_txt" name="Client_27_txt" data-encrypted="false"
data-shared="true" data-controlid="Client" tabindex="100"></div><input type="hidden" class="hdnElementId" name="text-field" cusid="Client_27_txt" data-elementid="1" data-encrypted="false" data-shared="true"
data-sharedformelementid="31854" data-sharedid="0" data-elementcolumnname="Client_2753_49510" data-formelementid="49510">
</div>
</div>
</div>
<div class="drop-zone ui-droppable ui-droppable-disabled col-lg-2 col-md-2 col-sm-2 col-xs-2" data-type="text" style="display: none;">
<div class="form-elements">
<div class="form-group"><label class="control-label" for="ProcessSK_1_txt" id="lblProcessSK_1_txt" style="word-break:break-all;">ProcessSK:</label>
<div><input type="text" disabled="" title="" aria-required="false" aria-labeledby="lblProcessSK_1_txt" class="form-control validateNullOrWhiteSpace" id="ProcessSK_1_txt" name="ProcessSK_1_txt" data-encrypted="false"
data-shared="false" data-controlid="ProcessSK1" tabindex="50"></div><input type="hidden" class="hdnElementId" name="text-field" cusid="ProcessSK_1_txt" data-elementid="1" data-encrypted="false" data-shared="false"
data-varid="0" data-varcode="" data-formelementid="28065" data-elementcolumnname="ProcessSK1_2753_28065">
</div>
</div>
</div>
<div class="drop-zone ui-droppable ui-droppable-disabled col-lg-2 col-md-2 col-sm-2 col-xs-2" data-type="text" style="display: none;">
<div class="form-elements">
<div class="form-group"><label class="control-label" for="SubProcess_2_txt" id="lblSubProcess_2_txt" style="word-break:break-all;">SubProcessSK:</label>
<div><input type="text" disabled="" title="" aria-required="false" aria-labeledby="lblSubProcess_2_txt" class="form-control validateNullOrWhiteSpace" id="SubProcess_2_txt" name="SubProcess_2_txt" data-encrypted="false"
data-shared="false" data-controlid="SubProcessSK1" tabindex="51"></div><input type="hidden" class="hdnElementId" name="text-field" cusid="SubProcess_2_txt" data-elementid="1" data-encrypted="false"
data-shared="false" data-varid="0" data-varcode="" data-formelementid="28066" data-elementcolumnname="SubProcessSK1_2753_28066">
</div>
</div>
</div>
<div class="drop-zone ui-droppable ui-droppable-disabled col-lg-2 col-md-2 col-sm-2 col-xs-2" data-type="text" style="display: none;">
<div class="form-elements">
<div class="form-group"><label class="control-label" for="RequestedB_1_txt" id="lblRequestedB_1_txt" style=" ">RequestedByName:</label>
<div><input type="text" disabled="" title="" aria-required="false" aria-labeledby="lblRequestedB_1_txt" class="form-control validateNullOrWhiteSpace" id="RequestedB_1_txt" name="RequestedB_1_txt" data-encrypted="false"
data-shared="true" data-controlid="RequestedByName" tabindex="200"></div><input type="hidden" class="hdnElementId" name="text-field" cusid="RequestedB_1_txt" data-elementid="1" data-encrypted="false"
data-shared="true" data-sharedformelementid="31855" data-sharedid="0" data-elementcolumnname="RequestedByName_2753_49511" data-formelementid="49511">
</div>
</div>
</div>
</div>
<div class="row">
<div class="drop-zone ui-droppable ui-droppable-disabled col-lg-2 col-md-2 col-sm-2 col-xs-2" data-type="text" style="display: none;">
<div class="form-elements">
<div class="form-group"><label class="control-label" for="HiddenAppr_3_txt" id="lblHiddenAppr_3_txt" style=" ">HiddenApprovalStatus:</label>
<div><input type="text" disabled="" title="" aria-required="false" aria-labeledby="lblHiddenAppr_3_txt" class="form-control validateNullOrWhiteSpace" id="HiddenAppr_3_txt" name="HiddenAppr_3_txt" data-encrypted="false"
data-shared="false" data-controlid="HiddenApprovalStatusID" tabindex="68"></div><input type="hidden" class="hdnElementId" name="text-field" cusid="HiddenAppr_3_txt" data-elementid="1" data-encrypted="false"
data-shared="false" data-formelementid="28067" data-elementcolumnname="HiddenApprovalStatusID_2753_28067">
</div>
</div>
</div>
<div class="drop-zone ui-droppable ui-droppable-disabled col-lg-2 col-md-2 col-sm-2 col-xs-2" data-type="text" style="display: none;">
<div class="form-elements">
<div class="form-group"><label class="control-label" for="InitialSub_1_txt" id="lblInitialSub_1_txt" style=" ">InitialSubmitTester:</label>
<div><input type="text" disabled="" title="" aria-required="false" aria-labeledby="lblInitialSub_1_txt" maxlength="45" class="form-control validateNullOrWhiteSpace" id="InitialSub_1_txt" name="InitialSub_1_txt"
data-encrypted="false" data-shared="false" data-controlid="InitialSubmitTester" tabindex="51"></div><input type="hidden" class="hdnElementId" name="text-field" cusid="InitialSub_1_txt" data-elementid="1"
data-encrypted="false" data-shared="false" data-formelementid="28068" data-elementcolumnname="InitialSubmitTester_2753_28068">
</div>
</div>
</div>
<div class="drop-zone ui-droppable ui-droppable-disabled col-lg-3 col-md-3 col-sm-3 col-xs-3" data-type="text" style="display: none;">
<div class="form-elements">
<div class="form-group"><label class="control-label" for="ProcessCod_1_txt" id="lblProcessCod_1_txt" style=" ">ProcessCode:</label>
<div><input type="text" enabled="" title="" aria-required="false" aria-labeledby="lblProcessCod_1_txt" class="form-control validateNullOrWhiteSpace" id="ProcessCod_1_txt" name="ProcessCod_1_txt" data-encrypted="false"
data-shared="false" data-controlid="ProcessCode" tabindex="100"></div><input type="hidden" class="hdnElementId" name="text-field" cusid="ProcessCod_1_txt" data-elementid="1" data-encrypted="false" data-shared="false"
data-formelementid="28081" data-elementcolumnname="ProcessCode_2753_28081">
</div>
</div>
</div>
<div class="drop-zone ui-droppable ui-droppable-disabled col-lg-2 col-md-2 col-sm-2 col-xs-2" data-type="button" style="display: none;">
<div class="form-elements">
<div class="form-group"><label for="ErrorPageC_1_button" id="lblErrorPageC_1_button" class="control-label custom-btn-bottom">:</label>
<div>
<div class="btn-div padding-left-0 padding-right-0 custom-btn-left">
<a data-controlid="ErrorPageClick" id="ErrorPageC_1_button" href="javascript:void(0);" class="btn btn-custom button-primary" value="ErrorPageClick" style="white-space: normal;" aria-labeledby="lblErrorPageC_1_button" tabindex="200"><span class="button-caption">ErrorPageClick</span></a>
</div>
</div><input type="hidden" class="hdnElementId" name="button" cusid="ErrorPageC_1_button" data-elementid="22" data-encrypted="false" data-shared="false" data-formelementid="28069"
data-elementcolumnname="ErrorPageClick_2753_28069">
</div>
</div>
</div>
<div class="drop-zone ui-droppable ui-droppable-disabled col-lg-3 col-md-3 col-sm-3 col-xs-3" data-type="searchbutton" style="display: none;">
<div class="form-elements">
<div class="form-group"><label class="control-label custom-btn-bottom">:</label>
<div>
<div class="btn-div padding-left-0 padding-right-0 custom-btn-left"><button data-controlid="CurrentApprovalStatus" type="button" id="CurrentApp_1searchbutton" value="CurrentApprovalStatusName"
style=";white-space: normal;" aria-labeledby="lblCurrentApp_1searchbutton" class="search-btn btn btn-custom button-primary" tabindex="101"><span class="button-caption">CurrentApprovalStatusName</span></button>
</div>
</div><input type="hidden" class="hdnElementId" name="searchbutton" cusid="CurrentApp_1searchbutton" data-elementid="24" data-encrypted="false" data-shared="false" data-formelementid="28078"
data-elementcolumnname="CurrentApprovalStatus_2753_28078">
</div>
</div>
</div>
</div>
<div class="row">
<div class="drop-zone ui-droppable ui-droppable-disabled col-lg-2 col-md-2 col-sm-2 col-xs-2" data-type="text" style="display: none;">
<div class="form-elements">
<div class="form-group"><label class="control-label" for="_nbsp__5_txt" id="lbl_nbsp__5_txt" style=" ">Question1:</label>
<div><input type="text" disabled="" title="" aria-required="false" aria-labeledby="lbl_nbsp__5_txt" maxlength="500" class="form-control validateNullOrWhiteSpace" id="_nbsp__5_txt" name="_nbsp__5_txt"
data-encrypted="false" data-shared="false" data-controlid="Question1" tabindex="100"></div><input type="hidden" class="hdnElementId" name="text-field" cusid="_nbsp__5_txt" data-elementid="1" data-encrypted="false"
data-shared="false" data-formelementid="28074" data-elementcolumnname="Question1_2753_28074">
</div>
</div>
</div>
<div class="drop-zone ui-droppable ui-droppable-disabled col-lg-2 col-md-2 col-sm-2 col-xs-2" data-type="text" style="display: none;">
<div class="form-elements">
<div class="form-group"><label class="control-label" for="_nbsp__2_cpy" id="lbl_nbsp__2_cpy" style=" ">Question2:</label>
<div><input type="text" disabled="" title="" aria-required="false" aria-labeledby="lbl_nbsp__2_cpy" class="form-control validateNullOrWhiteSpace" id="_nbsp__2_cpy" name="_nbsp__2_cpy" data-encrypted="false"
data-shared="false" data-controlid="Question2" tabindex="100"></div><input type="hidden" class="hdnElementId" name="text-field" cusid="_nbsp__2_cpy" data-elementid="1" data-encrypted="false" data-shared="false"
data-formelementid="28075" data-elementcolumnname="Question2_2753_28075">
</div>
</div>
</div>
<div class="drop-zone ui-droppable ui-droppable-disabled col-lg-2 col-md-2 col-sm-2 col-xs-2" data-type="text" style="display: none;">
<div class="form-elements">
<div class="form-group"><label class="control-label" for="_nbsp__3_cpy" id="lbl_nbsp__3_cpy" style=" ">Question3:</label>
<div><input type="text" disabled="" title="" aria-required="false" aria-labeledby="lbl_nbsp__3_cpy" class="form-control validateNullOrWhiteSpace" id="_nbsp__3_cpy" name="_nbsp__3_cpy" data-encrypted="false"
data-shared="false" data-controlid="Question3" tabindex="103"></div><input type="hidden" class="hdnElementId" name="text-field" cusid="_nbsp__3_cpy" data-elementid="1" data-encrypted="false" data-shared="false"
data-formelementid="28076" data-elementcolumnname="Question3_2753_28076">
</div>
</div>
</div>
<div class="drop-zone ui-droppable ui-droppable-disabled col-lg-2 col-md-2 col-sm-2 col-xs-2" data-type="text" style="display: none;">
<div class="form-elements">
<div class="form-group"><label class="control-label" for="_nbsp__4_cpy" id="lbl_nbsp__4_cpy" style=" ">Question4:</label>
<div><input type="text" disabled="" title="" aria-required="false" aria-labeledby="lbl_nbsp__4_cpy" class="form-control validateNullOrWhiteSpace" id="_nbsp__4_cpy" name="_nbsp__4_cpy" data-encrypted="false"
data-shared="false" data-controlid="Question4" tabindex="104"></div><input type="hidden" class="hdnElementId" name="text-field" cusid="_nbsp__4_cpy" data-elementid="1" data-encrypted="false" data-shared="false"
data-formelementid="28077" data-elementcolumnname="Question4_2753_28077">
</div>
</div>
</div>
<div class="drop-zone ui-droppable ui-droppable-disabled col-lg-4 col-md-4 col-sm-4 col-xs-4" data-type="button" style="display: none;">
<div class="form-elements">
<div class="form-group"><label for="Submit_773_button" id="lblSubmit_773_button" class="control-label custom-btn-bottom">:</label>
<div>
<div class="btn-div padding-left-0 padding-right-0 custom-btn-left">
<a data-controlid="SubmitDecider" id="Submit_773_button" href="javascript:void(0);" class="btn btn-theme-based" value="Submit" style="white-space: normal;" aria-labeledby="lblSubmit_773_button" tabindex="100"><span class="button-caption">Submit</span></a>
</div>
</div><input type="hidden" class="hdnElementId" name="button" cusid="Submit_773_button" data-elementid="22" data-encrypted="false" data-shared="false" data-varid="0" data-varcode="" data-formelementid="28082"
data-elementcolumnname="SubmitDecider_2753_28082">
</div>
</div>
</div>
</div>
<div class="row">
<div class="drop-zone ui-droppable ui-droppable-disabled col-lg-2 col-md-2 col-sm-2 col-xs-2" data-type="checkbox" style="display: none;">
<div class="form-elements">
<div class="form-group">
<div class="select-position-right"><label class="control-label " for="Status_1checkbox_grp" style="width:100%">Status:</label></div>
<div>
<div class="checkbox-container IOSColCountFix" id="Status_1checkbox_grp_Container" style="column-count: 1;">
<div><label class="checkbox-inline pad-top" for="0Status_1checkbox_grp"><input style="display:block" type="checkbox" id="0Status_1checkbox_grp" name="Status_1checkbox_grp_group" title="" value="PENDING"
data-encrypted="false" data-shared="false" tabindex="200" data-controlid="chkStatus">PENDING</label>
</div>
</div>
</div><input type="hidden" class="hdnElementId" name="checkbox" cusid="Status_1checkbox_grp" data-elementid="5" data-encrypted="false" data-shared="false" data-formelementid="28083"
data-elementcolumnname="chkStatus_2753_28083">
</div>
</div>
</div>
<div class="drop-zone ui-droppable ui-droppable-disabled col-lg-2 col-md-2 col-sm-2 col-xs-2" data-type="text" style="display: none;">
<div class="form-elements">
<div class="form-group"><label class="control-label" for="test_1_txt" id="lbltest_1_txt" style=" ">test:</label>
<div><input type="text" enabled="" title="" aria-required="false" aria-labeledby="lbltest_1_txt" class="form-control validateNullOrWhiteSpace" id="test_1_txt" name="test_1_txt" data-encrypted="false" data-shared="false"
data-controlid="test" tabindex="100"></div><input type="hidden" class="hdnElementId" name="text-field" cusid="test_1_txt" data-elementid="1" data-encrypted="false" data-shared="false" data-formelementid="28079"
data-elementcolumnname="test_2753_28079">
</div>
</div>
</div>
</div>
<div class="row"></div>
<div class="row lastrowform" style="display: none;">
</div>
</div>
</div>
</div>
</div>
</div>
<input id="processCode" type="hidden" value="SMNJ_SRV_RQT_SURVEY">
<input id="formId" name="formId" type="hidden" value="SurveyForm">
<input id="hdnIsLastForm" type="hidden" value="false">
<input id="hdnListsk" type="hidden" value="135"> <!-- For storing WorkflowlistSk -->
<div class="dirtyignore">
<input type="hidden" name="ctl00$FBEngineContentPlaceHolder$hdnHstryId" id="hdnHstryId" value="39019">
<input type="hidden" name="ctl00$FBEngineContentPlaceHolder$hdnUserFormData" id="hdnUserFormData" value="">
<input type="hidden" name="ctl00$FBEngineContentPlaceHolder$fid" id="fid" value="2753">
<input type="hidden" name="ctl00$FBEngineContentPlaceHolder$pid" id="pid" value="355">
<input type="hidden" name="ctl00$FBEngineContentPlaceHolder$sId" id="sId" value="179407">
<input type="hidden" name="ctl00$FBEngineContentPlaceHolder$key" id="key">
<input type="hidden" name="ctl00$FBEngineContentPlaceHolder$pcode" id="pcode">
<input type="hidden" name="ctl00$FBEngineContentPlaceHolder$formid" id="formid">
<input type="hidden" name="ctl00$FBEngineContentPlaceHolder$IsUserCanPromoteProcess" id="IsUserCanPromoteProcess" value="false">
</div>
</div>
</section>
</div>
<!-- Popup modal -->
<div id="popup-modal" class="modal fade popUpModal" role="dialog">
<div class="modal-dialog">
<!-- Modal content-->
<div class="modal-content">
<div class="modal-header text-center">
<h4 id="titleh" class="modal-title">Preview</h4>
</div>
<div class="modal-body">
<iframe class="popUpContent"></iframe>
</div>
</div>
</div>
<div class="bb-alert alert alert-info" style="display: none;">
<span>This was logged in the callback!</span>
</div>
</div>
<!-- Promote modal -->
<div id="Promote-modal" class="modal fade " role="dialog">
<div class="modal-dialog modal-lg">
<!-- Modal content-->
<div class="modal-content">
<div class="modal-header text-center">
<button type="button" class="close" onclick="resetPromotemodel();" data-dismiss="modal">×</button>
<h4 class="modal-title">Promote Process</h4>
</div>
<div class="modal-body" id="divPromoteProcessDetails">
</div>
</div>
</div>
</div>
</div>
</div>
<div class="container footer-wrapper">
<footer class="main-footer" style="width: 1140px;">
<div class="powered-by" title="Powered by CareTech Solutions, Inc.">Powered By:
<a href="https://www.caretech.com" target="_blank"><img src="../../Images/icons/footer-ct-logo.png" alt="CareTech Solutions" title="Powered by CareTech Solutions, Inc." class="img-pwb-logo"></a></div>
<!--<footer class=footer-master><p>If you have difficulties, contact the CareTech Solutions Shared Services at 248-823-0124 or x30124<p>© 2024 CareTech Solutions, Inc.All Rights Reserved
</footer>-->
<p align="center">If you have difficulties, contact the Shore Medical Center Service Desk at (609) 653-3403 or Ext. 3403<br>© 2024 <a href="https://www.htcinc.com/" target="_blank">HTC Global Services</a>. All Rights Reserved </p>
</footer>
</div>
<input type="hidden" name="ctl00$hdnUId" id="ctl00_hdnUId" value="69">
<input type="hidden" name="ctl00$hdnUName" id="ctl00_hdnUName" value="CTS-Anonymous">
<input type="hidden" name="ctl00$hdnRequestString" id="ctl00_hdnRequestString" value="PR">
<input type="hidden" name="ctl00$hdnAccountId" id="ctl00_hdnAccountId" value="97">
<input type="hidden" name="ctl00$hdnAccountCode" id="ctl00_hdnAccountCode" value="SMNJ">
<input type="hidden" name="ctl00$hdnAccountName" id="ctl00_hdnAccountName" value="Shore Medical Center">
<input type="hidden" name="ctl00$hdnAuthToken" id="ctl00_hdnAuthToken">
<input type="hidden" name="ctl00$hdnAuthRefreshToken" id="ctl00_hdnAuthRefreshToken">
<input type="hidden" name="ctl00$hdnIsSuperAdmin" id="ctl00_hdnIsSuperAdmin" value="False">
<input type="hidden" name="ctl00$hdnIsImpersonate" id="ctl00_hdnIsImpersonate" value="False">
<input type="hidden" name="ctl00$hdnPreviousImpersonateuser" id="ctl00_hdnPreviousImpersonateuser">
<input type="hidden" name="ctl00$hdnPageUrlKey" id="ctl00_hdnPageUrlKey" value="df06071e-094f-4069-ac29-f6be06956413">
<input type="hidden" name="ctl00$hdnuserprofileinfo" id="ctl00_hdnuserprofileinfo">
</form>Text Content
This portal requires JavaScript to be enabled. Please check your browser settings and enable JavaScript to continue. Loading... Toggle navigation Customer Satisfaction Survey Survey for SRNumber: Service Request Survey for VRNumber: If we did not meet your expectations of all questions, please leave us a comment so that we can serve you better next time -------------------------------------------------------------------------------- Case Description: SRDescription: -------------------------------------------------------------------------------- Questions Rating * Comments (max 250 characters) 1. The support team was professional and courteous. Rating1:* Select5 - Strongly Agree4 - Agree3 - Neutral2 - Disagree1 - Strongly DisagreeN/A Comments1: 2. The support team provided clear information on the nature of my problem and resolution. Rating2:* Select5 - Strongly Agree4 - Agree3 - Neutral2 - Disagree1 - Strongly DisagreeN/A Comments2: 3. The support team responded in a timely manner to my question or problem. Rating3:* Select5 - Strongly Agree4 - Agree3 - Neutral2 - Disagree1 - Strongly DisagreeN/A Comments3: 4. The support team resolved my problem in a timely manner. Rating4:* Select5 - Strongly Agree4 - Agree3 - Neutral2 - Disagree1 - Strongly DisagreeN/A Comments4: -------------------------------------------------------------------------------- When you have completed the survey, please click the Submit button to submit the survey. We appreciate your feedback : Submit SRAssignedGroup: Client: ProcessSK: SubProcessSK: RequestedByName: HiddenApprovalStatus: InitialSubmitTester: ProcessCode: : ErrorPageClick : CurrentApprovalStatusName Question1: Question2: Question3: Question4: : Submit Status: PENDING test: PREVIEW This was logged in the callback! × PROMOTE PROCESS Powered By: If you have difficulties, contact the Shore Medical Center Service Desk at (609) 653-3403 or Ext. 3403 © 2024 HTC Global Services. All Rights Reserved