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portal.mvsmclub.com Open in urlscan Pro
66.155.58.180  Public Scan

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Submitted URL: https://u6211663.ct.sendgrid.net/ls/click?upn=8ADcUsr20mCMN0fctxgX8VgDzKq9KKrTjuFqw2odISGF6xsOyD1iC074p-2BY-2Bg-2FwPOrFtp2-2BxlNV...
Effective URL: https://portal.mvsmclub.com/survey.asp?clinic=4987&client=1141
Submission: On June 13 via manual from IN — Scanned from DE

Form analysis 1 forms found in the DOM

POST saveanswer.asp

<form action="saveanswer.asp" method="post" id="theform">
  <input type="hidden" name="qid" id="qid" value="1">
  <input type="hidden" name="sid" id="sid" value="5664">
  <input type="hidden" name="cnt" id="cnt" value="4">
  <label class="radio"><input id="radio1" type="radio" name="answer" value="5"><span class="outer"><span class="inner"></span></span>5</label><br>
  <label class="radio"><input id="radio1" type="radio" name="answer" value="4"><span class="outer"><span class="inner"></span></span>4</label><br>
  <label class="radio"><input id="radio1" type="radio" name="answer" value="3"><span class="outer"><span class="inner"></span></span>3</label><br>
  <label class="radio"><input id="radio1" type="radio" name="answer" value="2"><span class="outer"><span class="inner"></span></span>2</label><br>
  <label class="radio"><input id="radio1" type="radio" name="answer" value="1"><span class="outer"><span class="inner"></span></span>1</label><br>
  <input type="button" value="Next >" onclick="gonext()" class="button1">
  <script>
    function gonext() {
      $("#theform").submit();
    }

    function goprev(qid) {
      document.location = "survey.asp?qid=" + qid
    }
  </script>
</form>

Text Content

 

 * Home
 * Client Survey


BARFIELD ANIMAL HOSPITAL SURVEY QUESTION 1 OF 4


OVERALL, HOW WOULD YOU RATE OUR PRACTICE? (5 BEING THE BEST)

5
4
3
2
1


 * Terms of Use

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