survey.netgear.com Open in urlscan Pro
13.111.144.4  Public Scan

Form analysis
1 forms found in the DOM

Name: surveyform — POST https://survey.netgear.com/multi-channel-bv

<form id="form-id" action="https://survey.netgear.com/multi-channel-bv" name="surveyform" method="post" class="form-horizontal pr-5">
  <input type="hidden" id="CID" name="customer_id" value="73314560">
  <input type="hidden" id="RID" name="registration_id" value="86347575">
  <input type="hidden" id="PID" name="product" value="UjY0MDB2Mg==">
  <input type="hidden" id="BCountry" name="Country" value="VW5pdGVkIFN0YXRlcw==">
  <input type="EmailAddress" id="AEmail" name="Email" style="display:none" value="d3JwQHJpdmVyc2lkZXNoZXJpZmYub3Jn">
  <input type="hidden" id="Rating" name="prating" value="5">
  <input type="hidden" id="pchannel" name="channel" value="">
  <input type="hidden" id="pageID" name="page" value="">
  <input type="hidden" id="pageID" name="template" value="">
  <div class="form-group">
    <div class="field"> Overall Rating:<br>
      <div style=" text-align: left;margin: 0; font-size: 30px; width: 20%;">
        <div ng-init="rating = star.rating + ratings"></div>
        <div class="stars" style="text-align: left">
          <input type="radio" name="Rating" class="star-1" value="1" required="" disabled="">
          <label class="star-1" for="star-1">1</label>
          <input type="radio" name="Rating" class="star-2" value="2" required="" disabled="">
          <label class="star-2" for="star-2">2</label>
          <input type="radio" name="Rating" class="star-3" value="3" required="" disabled="">
          <label class="star-3" for="star-3">3</label>
          <input type="radio" name="Rating" class="star-4" value="4" required="" disabled="">
          <label class="star-4" for="star-4">4</label>
          <input type="radio" name="Rating" class="star-5" value="5" checked="checked" required="" disabled="">
          <label class="star-5" for="star-5">5</label>
          <span></span>
        </div>
      </div>
    </div>
    <br>
    <!--rating code goes heare-->
    <div class="field"> Name or screen name: *(required) <input type="text" placeholder="Eg.: John Smith" class="form-control" tabindex="1" onfocus="true" id="Firstname" name="Firstname" required="">
    </div>
    <!-- ngIf: myForm.Name.$touched || myForm.$submitted -->
  </div>
  <div class="form-group">
    <div class="field">Review title: *(required) <input type="text" placeholder="Use a brief (3-5 word) summary of your review" tabindex="2" class="form-control" ng-maxlength="200" id="ReviewTitle" name="Reviewtitle" required="">
    </div>
    <!-- ngIf: myForm.ReviewTitle.$touched || myForm.$submitted -->
  </div>
  <div class="form-group">
    <div class="field ng-binding">Review description: <textarea class="form-control" rows="4" cols="50" id="Reviewdescription" name="Reviewdescription" required=""></textarea>
    </div>
    <div style="display: block; clear: both">
      <br>
      <div class="formbutton">
        <div class="field text-right">
          <button class="button blue first visit_btn" onclick="return bindData()" text="ReviewDescription" name="Submit" type="submit" value="Submit"> Submit Review &nbsp;&gt; </button>
        </div>
      </div>
      <span us-spinner="{radius:5, width:4, length: 8}" spinner-key="spinner-1" style="
                        position: relative;
                        margin-right: 20px;
                        display: none;
                      "></span>
      <br>
      <span ng-show="err" class="errorMsg"></span>
    </div>
  </div>
</form>

Text Content

Rate and review your
NETGEAR AC1750 Smart WiFi Router (R6400v2) for a chance to win a
$500 Visa gift card

Tell others what you think about this product.
Overall Rating:

1 2 3 4 5

Name or screen name: *(required)
Review title: *(required)
Review description:


Submit Review  >