mpulsemobile.com Open in urlscan Pro
141.193.213.10  Public Scan

Submitted URL: https://go.mpulsemobile.com/e3t/Ctc/GA+113/cfkKc04/VWLLHt5XN7wqW6R8N7K3HN2VVW6J3_6X4-63ZMN2NZZ373q3n5V1-WJV7Cg-LyW95WzWN7hQP...
Effective URL: https://mpulsemobile.com/?utm_campaign=Activate2022&utm_medium=email&_hsmi=256844879&_hsenc=p2ANqtz-9b01pHpUSYzZQO5L2eEj8...
Submission: On May 03 via api from US — Scanned from DE

Form analysis 6 forms found in the DOM

GET https://mpulsemobile.com

<form class="elementor-search-form" role="search" action="https://mpulsemobile.com" method="get">
  <div class="elementor-search-form__container">
    <input placeholder="Member " class="elementor-search-form__input" type="search" name="s" title="Search" value="">
    <button class="elementor-search-form__submit" type="submit" title="Search" aria-label="Search">
      <i aria-hidden="true" class="fas fa-search"></i> <span class="elementor-screen-only">Search</span>
    </button>
  </div>
</form>

GET https://mpulsemobile.com

<form class="elementor-search-form" role="search" action="https://mpulsemobile.com" method="get">
  <div class="elementor-search-form__toggle" tabindex="0" role="button">
    <i aria-hidden="true" class="fas fa-search"></i> <span class="elementor-screen-only">Search</span>
  </div>
  <div class="elementor-search-form__container">
    <input placeholder="Search..." class="elementor-search-form__input" type="search" name="s" title="Search" value="">
    <div class="dialog-lightbox-close-button dialog-close-button">
      <i aria-hidden="true" class="eicon-close"></i> <span class="elementor-screen-only">Close this search box.</span>
    </div>
  </div>
</form>

GET https://mpulsemobile.com

<form class="elementor-search-form" role="search" action="https://mpulsemobile.com" method="get">
  <div class="elementor-search-form__container">
    <input placeholder="I want to improve" class="elementor-search-form__input" type="search" name="s" title="Search" value="">
    <button class="elementor-search-form__submit" type="submit" title="Search" aria-label="Search">
      <i aria-hidden="true" class="fas fa-search"></i> <span class="elementor-screen-only">Search</span>
    </button>
  </div>
</form>

GET https://mpulsemobile.com

<form class="elementor-search-form" role="search" action="https://mpulsemobile.com" method="get">
  <div class="elementor-search-form__toggle" tabindex="0" role="button">
    <i aria-hidden="true" class="fas fa-search"></i> <span class="elementor-screen-only">Search</span>
  </div>
  <div class="elementor-search-form__container">
    <input placeholder="Search..." class="elementor-search-form__input" type="search" name="s" title="Search" value="">
    <div class="dialog-lightbox-close-button dialog-close-button">
      <i aria-hidden="true" class="eicon-close"></i> <span class="elementor-screen-only">Close this search box.</span>
    </div>
  </div>
</form>

POST https://forms.hsforms.com/submissions/v3/public/submit/formsnext/multipart/2098667/c4dfd2d7-9082-42dd-bf9c-d90ecb8c3e39

<form id="hsForm_c4dfd2d7-9082-42dd-bf9c-d90ecb8c3e39" method="POST" accept-charset="UTF-8" enctype="multipart/form-data" novalidate=""
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  class="hs-form-private hsForm_c4dfd2d7-9082-42dd-bf9c-d90ecb8c3e39 hs-form-c4dfd2d7-9082-42dd-bf9c-d90ecb8c3e39 hs-form-c4dfd2d7-9082-42dd-bf9c-d90ecb8c3e39_090dffe9-33d1-4545-be64-00e93374564b hs-form stacked"
  target="target_iframe_c4dfd2d7-9082-42dd-bf9c-d90ecb8c3e39" data-instance-id="090dffe9-33d1-4545-be64-00e93374564b" data-form-id="c4dfd2d7-9082-42dd-bf9c-d90ecb8c3e39" data-portal-id="2098667">
  <fieldset class="form-columns-2">
    <div class="hs_email hs-email hs-fieldtype-text field hs-form-field"><label id="label-email-c4dfd2d7-9082-42dd-bf9c-d90ecb8c3e39" class="" placeholder="Enter your Email" for="email-c4dfd2d7-9082-42dd-bf9c-d90ecb8c3e39"><span>Email</span><span
          class="hs-form-required">*</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input"><input id="email-c4dfd2d7-9082-42dd-bf9c-d90ecb8c3e39" name="email" required="" placeholder="" type="email" class="hs-input" inputmode="email" autocomplete="email" value=""></div>
    </div>
    <div class="hs_company hs-company hs-fieldtype-text field hs-form-field"><label id="label-company-c4dfd2d7-9082-42dd-bf9c-d90ecb8c3e39" class="" placeholder="Enter your Company Name"
        for="company-c4dfd2d7-9082-42dd-bf9c-d90ecb8c3e39"><span>Company Name</span><span class="hs-form-required">*</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input"><input id="company-c4dfd2d7-9082-42dd-bf9c-d90ecb8c3e39" name="company" required="" placeholder="" type="text" class="hs-input" inputmode="text" autocomplete="organization" value=""></div>
    </div>
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  <fieldset class="form-columns-2">
    <div class="hs_firstname hs-firstname hs-fieldtype-text field hs-form-field"><label id="label-firstname-c4dfd2d7-9082-42dd-bf9c-d90ecb8c3e39" class="" placeholder="Enter your First Name"
        for="firstname-c4dfd2d7-9082-42dd-bf9c-d90ecb8c3e39"><span>First Name</span><span class="hs-form-required">*</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input"><input id="firstname-c4dfd2d7-9082-42dd-bf9c-d90ecb8c3e39" name="firstname" required="" placeholder="" type="text" class="hs-input" inputmode="text" autocomplete="given-name" value=""></div>
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    <div class="hs_lastname hs-lastname hs-fieldtype-text field hs-form-field"><label id="label-lastname-c4dfd2d7-9082-42dd-bf9c-d90ecb8c3e39" class="" placeholder="Enter your Last Name" for="lastname-c4dfd2d7-9082-42dd-bf9c-d90ecb8c3e39"><span>Last
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      <legend class="hs-field-desc" style="display: none;"></legend>
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      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input"><input id="phone-c4dfd2d7-9082-42dd-bf9c-d90ecb8c3e39" name="phone" required="" placeholder="" type="tel" class="hs-input" inputmode="tel" autocomplete="tel" value=""></div>
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      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input"><input id="jobtitle-c4dfd2d7-9082-42dd-bf9c-d90ecb8c3e39" name="jobtitle" required="" placeholder="" type="text" class="hs-input" inputmode="text" autocomplete="organization-title" value=""></div>
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  </fieldset>
  <fieldset class="form-columns-1">
    <div class="hs-dependent-field">
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        <legend class="hs-field-desc" style="display: none;"></legend>
        <div class="input"><select id="organization_type-c4dfd2d7-9082-42dd-bf9c-d90ecb8c3e39" required="" class="hs-input is-placeholder" name="organization_type">
            <option disabled="" value="">Please Select</option>
            <option value="Provider">Provider</option>
            <option value="Health System">Health System</option>
            <option value="Health Plan">Health Plan</option>
            <option value="Pharmacy">Pharmacy</option>
            <option value="Consulting">Consulting</option>
            <option value="Health Supply">Health Supply</option>
            <option value="Other">Other</option>
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      </div>
    </div>
  </fieldset>
  <fieldset class="form-columns-1">
    <div class="hs_comments hs-comments hs-fieldtype-textarea field hs-form-field"><label id="label-comments-c4dfd2d7-9082-42dd-bf9c-d90ecb8c3e39" class="" placeholder="Enter your Comments"
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      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input"><textarea id="comments-c4dfd2d7-9082-42dd-bf9c-d90ecb8c3e39" class="hs-input hs-fieldtype-textarea" name="comments" placeholder=""></textarea></div>
    </div>
  </fieldset>
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    <div class="hs_subscribe_to_blog hs-subscribe_to_blog hs-fieldtype-booleancheckbox field hs-form-field">
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul class="inputs-list">
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                type="checkbox" name="subscribe_to_blog" value="true"><span>Subscribe to receive new blogs alerts</span></label></li>
        </ul>
      </div>
    </div>
  </fieldset>
  <fieldset class="form-columns-1">
    <div class="hs_leadsource hs-leadsource hs-fieldtype-select field hs-form-field" style="display: none;"><label id="label-leadsource-c4dfd2d7-9082-42dd-bf9c-d90ecb8c3e39" class="" placeholder="Enter your Lead source"
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      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input"><input name="leadsource" class="hs-input" type="hidden" value="Website"></div>
    </div>
  </fieldset>
  <fieldset class="form-columns-1">
    <div class="legal-consent-container">
      <div class="hs-richtext">
        <p>By submitting this form, you agree we can contact you and store your data. We promise to keep it safe. <a href="https://mpulsemobile.com/privacy/" target="_blank" rel="noopener">Learn more</a>.</p>
      </div>
    </div>
  </fieldset>
  <div class="hs_submit hs-submit">
    <div class="hs-field-desc" style="display: none;"></div>
    <div class="actions"><input type="submit" class="hs-button primary large" value="Let's Talk"></div>
  </div><input name="hs_context" type="hidden"
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If you consent to us contacting you for this purpose, please tick below to say how you would like us to contact you:</p>\&quot;,\&quot;processingConsentType\&quot;:\&quot;IMPLICIT\&quot;,\&quot;processingConsentText\&quot;:\&quot;<p>In order to provide you the content requested, we need to store and process your personal data. If you consent to us storing your personal data for this purpose, please tick the checkbox below.</p>\&quot;,\&quot;processingConsentCheckboxLabel\&quot;:\&quot;<p>I agree to allow mPulse Marketing to store and process my personal data.</p>\&quot;,\&quot;privacyPolicyText\&quot;:\&quot;<p>By submitting this form, you agree we can contact you and store your data. 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POST #

<form class="acsb-form" data-acsb-search="form" enctype="multipart/form-data" action="#" method="POST"> <input type="text" tabindex="0" name="acsb_search" autocomplete="off" placeholder="Unclear content? Search in dictionary..."
    aria-label="Unclear content? Search in dictionary..."> <i class="acsbi-search"></i> <i class="acsbi-chevron_down"></i> </form>

Text Content

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 * Solutions
   
   * SOLUTION BY INDUSTRY
     
      * Medicare
      * Medicaid
      * Commercial
      * Health Systems
      * Pharmacy
   
   * SOLUTION BY ENGAGEMENT
     
      * Screenings and Prevention
      * Population Health and Wellness
      * Acquisition and Retention
      * Condition Management
      * Access
      * Member Experience
      * Vaccinations
      * Medication Adherence
 * Technology
   
   * TECHNOLOGY
     
     Our intelligent technology learns consumers' unique health needs and
     engagement preferences for meaningful one-to-one interactions and at scale.
   *  * Platform
      * How We Drive Action
      * Streaming Health Content
      * Security and Compliance
      * Data and Analytics
 * Outcomes
 * Resources
   
   * RESOURCES
     
     Stay updated on the latest health engagement research and solutions.
   *  * Blog
      * Videos
      * Case Studies
      * Webinars
      * White Papers
      * Brochures
      * Solution Sheets
 * About Us
   
   * ABOUT US
     
     Learn more about mPulse Mobile, the leader in conversational AI for
     healthcare.
   *  * In the News
      * Events
      * Leadership
      * Board of Directors
      * Investors
      * Request a Demo
      * Contact Us
      * Careers

Search
Search
Close this search box.
 * Solutions
   
   * SOLUTION BY INDUSTRY
     
      * Medicare
      * Medicaid
      * Commercial
      * Health Systems
      * Pharmacy
   
   * SOLUTION BY ENGAGEMENT
     
      * Screenings and Prevention
      * Population Health and Wellness
      * Acquisition and Retention
      * Condition Management
      * Access
      * Member Experience
      * Vaccinations
      * Medication Adherence
 * Technology
   
   * TECHNOLOGY
     
     Our intelligent technology learns consumers' unique health needs and
     engagement preferences for meaningful one-to-one interactions and at scale.
   *  * Platform
      * How We Drive Action
      * Streaming Health Content
      * Security and Compliance
      * Data and Analytics
 * Outcomes
 * Resources
   
   * RESOURCES
     
     Stay updated on the latest health engagement research and solutions.
   *  * Blog
      * Videos
      * Case Studies
      * Webinars
      * White Papers
      * Brochures
      * Solution Sheets
 * About Us
   
   * ABOUT US
     
     Learn more about mPulse Mobile, the leader in conversational AI for
     healthcare.
   *  * In the News
      * Events
      * Leadership
      * Board of Directors
      * Investors
      * Request a Demo
      * Contact Us
      * Careers

Search
Search
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mPulse for Salesforce
mPulse Mobile Announces mPulse for Salesforce on Salesforce AppExchange, the
World's Leading Enterprise Cloud Marketplace.
Learn More
Solutions for Redetermination
Reduce member churn using education and conversational AI to address knowledge
gaps and encourage members to avoid losing their Medicaid coverage.
Learn More
Registration Open for Activate2023
MINNEAPOLIS, MN | SEPTEMBER 27 - 28
Register Now
Reimagining Health Engagement
AI-driven health engagement that orchestrates meaningful health journeys.
See it in action
Flu Vaccination Solution
mPulse Mobile’s flu vaccination solution uses proven behavioral science and
dynamic content to overcome common vaccine barriers and get more members
vaccinated.
Click Here
mPulse for Salesforce
mPulse Mobile Announces mPulse for Salesforce on Salesforce AppExchange, the
World's Leading Enterprise Cloud Marketplace.
Learn More
Solutions for Redetermination
Reduce member churn using education and conversational AI to address knowledge
gaps and encourage members to avoid losing their Medicaid coverage.
Learn More
Registration Open for Activate2023
MINNEAPOLIS, MN | SEPTEMBER 27 - 28
Register Now
Reimagining Health Engagement
AI-driven health engagement that orchestrates meaningful health journeys.
See it in action
Flu Vaccination Solution
mPulse Mobile’s flu vaccination solution uses proven behavioral science and
dynamic content to overcome common vaccine barriers and get more members
vaccinated.
Click Here
mPulse for Salesforce
mPulse Mobile Announces mPulse for Salesforce on Salesforce AppExchange, the
World's Leading Enterprise Cloud Marketplace.
Learn More
Solutions for Redetermination
Reduce member churn using education and conversational AI to address knowledge
gaps and encourage members to avoid losing their Medicaid coverage.
Learn More
Registration Open for Activate2023
MINNEAPOLIS, MN | SEPTEMBER 27 - 28
Register Now
Reimagining Health Engagement
AI-driven health engagement that orchestrates meaningful health journeys.
See it in action
Flu Vaccination Solution
mPulse Mobile’s flu vaccination solution uses proven behavioral science and
dynamic content to overcome common vaccine barriers and get more members
vaccinated.
Click Here



ACHIEVE YOUR OUTCOMES GOALS WITH MPULSE ENGAGEMENT SOLUTIONS


SCREENINGS AND PREVENTION

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POPULATION HEALTH AND WELLNESS

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ACQUISITION AND RETENTION

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CONDITION MANAGEMENT

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ACCESS

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MEMBER EXPERIENCE

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VACCINATIONS

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MEDICATION ADHERENCE

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ARE YOU REIMAGINING YOUR HEALTH ENGAGEMENT?

Streamline your communications to elevate consumer experiences and ignite
outcomes.

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THIS IS HOW IT’S DONE

Intelligent technology learns consumers’ unique health needs and preferences to
deliver meaningful one-to-one interactions at scale.

Conversations
Conquer consumer abrasion using AI-powered omnichannel outreach using the right
channel, at the right moment, with the right message.
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Knowledge
Close knowledge gaps and drive health outcomes using commercial-quality
streaming education integrated with our solutions and aligned to your engagement
challenges.
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Journeys
Increase consumer retention by creating meaningful relationships and using rich
insights from across your population to continually refine and enhance
enterprise strategy.
Learn More
Conversations
Conquer consumer abrasion using AI-powered omnichannel outreach using the right
channel, at the right moment, with the right message.
Learn More
Knowledge
Close knowledge gaps and drive health outcomes using commercial-quality
streaming education integrated with our solutions and aligned to your engagement
challenges.
Learn More
Journeys
Increase consumer retention by creating meaningful relationships and using rich
insights from across your population to continually refine and enhance
enterprise strategy.
Learn More
Conversations
Conquer consumer abrasion using AI-powered omnichannel outreach using the right
channel, at the right moment, with the right message.
Learn More
Knowledge
Close knowledge gaps and drive health outcomes using commercial-quality
streaming education integrated with our solutions and aligned to your engagement
challenges.
Learn More
Journeys
Increase consumer retention by creating meaningful relationships and using rich
insights from across your population to continually refine and enhance
enterprise strategy.
Learn More

Conversations

Conquer consumer abrasion using AI-powered omnichannel outreach using the right
channel, at the right moment, with the right message.

Learn More
Knowledge

Close knowledge gaps and drive health outcomes using commercial-quality
streaming education integrated with our solutions and aligned to your engagement
challenges.

Learn More
Journeys

Increase consumer retention by creating meaningful relationships and using rich
insights from across your population to continually refine and enhance
enterprise strategy.

Learn More

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TRUSTED BY LEADING ORGANIZATIONS


EXPERIENCE

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PIONEERS IN CONSUMER ENGAGEMENT WITH OVER 10 YEARS OF EXPERTISE


REACH

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ENGAGING WITH OVER 150M US HEALTHCARE CONSUMERS


SCALE

1B


TECHNOLOGY TO HANDLE OVER 1 BILLION AUTOMATED CONVERSATIONS ANNUALLY


TRUST

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AND HIPAA-COMPLIANT




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Accessibility StatementCompliance status

We firmly believe that the internet should be available and accessible to anyone
and are committed to providing a website that is accessible to the broadest
possible audience, regardless of ability.

To fulfill this, we aim to adhere as strictly as possible to the World Wide Web
Consortium’s (W3C) Web Content Accessibility Guidelines 2.1 (WCAG 2.1) at the AA
level. These guidelines explain how to make web content accessible to people
with a wide array of disabilities. Complying with those guidelines helps us
ensure that the website is accessible to blind people, people with motor
impairments, visual impairment, cognitive disabilities, and more.

This website utilizes various technologies that are meant to make it as
accessible as possible at all times. We utilize an accessibility interface that
allows persons with specific disabilities to adjust the website’s UI (user
interface) and design it to their personal needs.

Additionally, the website utilizes an AI-based application that runs in the
background and optimizes its accessibility level constantly. This application
remediates the website’s HTML, adapts its functionality and behavior for
screen-readers used by blind users, and for keyboard functions used by
individuals with motor impairments.

If you wish to contact the website’s owner please use the website's form

Screen-reader and keyboard navigation

Our website implements the ARIA attributes (Accessible Rich Internet
Applications) technique, alongside various behavioral changes, to ensure blind
users visiting with screen-readers can read, comprehend, and enjoy the website’s
functions. As soon as a user with a screen-reader enters your site, they
immediately receive a prompt to enter the Screen-Reader Profile so they can
browse and operate your site effectively. Here’s how our website covers some of
the most important screen-reader requirements:

 1. Screen-reader optimization: we run a process that learns the website’s
    components from top to bottom, to ensure ongoing compliance even when
    updating the website. In this process, we provide screen-readers with
    meaningful data using the ARIA set of attributes. For example, we provide
    accurate form labels; descriptions for actionable icons (social media icons,
    search icons, cart icons, etc.); validation guidance for form inputs;
    element roles such as buttons, menus, modal dialogues (popups), and others. 
    
    Additionally, the background process scans all of the website’s images. It
    provides an accurate and meaningful image-object-recognition-based
    description as an ALT (alternate text) tag for images that are not
    described. It will also extract texts embedded within the image using an OCR
    (optical character recognition) technology. To turn on screen-reader
    adjustments at any time, users need only to press the Alt+1 keyboard
    combination. Screen-reader users also get automatic announcements to turn
    the Screen-reader mode on as soon as they enter the website.
    
    These adjustments are compatible with popular screen readers such as JAWS,
    NVDA, VoiceOver, and TalkBack.
    
    
 2. Keyboard navigation optimization: The background process also adjusts the
    website’s HTML and adds various behaviors using JavaScript code to make the
    website operable by the keyboard. This includes the ability to navigate the
    website using the Tab and Shift+Tab keys, operate dropdowns with the arrow
    keys, close them with Esc, trigger buttons and links using the Enter key,
    navigate between radio and checkbox elements using the arrow keys, and fill
    them in with the Spacebar or Enter key.
    
    Additionally, keyboard users will find content-skip menus available at any
    time by clicking Alt+2, or as the first element of the site while navigating
    with the keyboard. The background process also handles triggered popups by
    moving the keyboard focus towards them as soon as they appear, not allowing
    the focus to drift outside.
    
    Users can also use shortcuts such as “M” (menus), “H” (headings), “F”
    (forms), “B” (buttons), and “G” (graphics) to jump to specific elements.

Disability profiles supported on our website
 * Epilepsy Safe Profile: this profile enables people with epilepsy to safely
   use the website by eliminating the risk of seizures resulting from flashing
   or blinking animations and risky color combinations.
 * Vision Impaired Profile: this profile adjusts the website so that it is
   accessible to the majority of visual impairments such as Degrading Eyesight,
   Tunnel Vision, Cataract, Glaucoma, and others.
 * Cognitive Disability Profile: this profile provides various assistive
   features to help users with cognitive disabilities such as Autism, Dyslexia,
   CVA, and others, to focus on the essential elements more easily.
 * ADHD Friendly Profile: this profile significantly reduces distractions and
   noise to help people with ADHD, and Neurodevelopmental disorders browse,
   read, and focus on the essential elements more easily.
 * Blind Users Profile (Screen-readers): this profile adjusts the website to be
   compatible with screen-readers such as JAWS, NVDA, VoiceOver, and TalkBack. A
   screen-reader is installed on the blind user’s computer, and this site is
   compatible with it.
 * Keyboard Navigation Profile (Motor-Impaired): this profile enables
   motor-impaired persons to operate the website using the keyboard Tab,
   Shift+Tab, and the Enter keys. Users can also use shortcuts such as “M”
   (menus), “H” (headings), “F” (forms), “B” (buttons), and “G” (graphics) to
   jump to specific elements.

Additional UI, design, and readability adjustments
 1. Font adjustments – users can increase and decrease its size, change its
    family (type), adjust the spacing, alignment, line height, and more.
 2. Color adjustments – users can select various color contrast profiles such as
    light, dark, inverted, and monochrome. Additionally, users can swap color
    schemes of titles, texts, and backgrounds with over seven different coloring
    options.
 3. Animations – epileptic users can stop all running animations with the click
    of a button. Animations controlled by the interface include videos, GIFs,
    and CSS flashing transitions.
 4. Content highlighting – users can choose to emphasize essential elements such
    as links and titles. They can also choose to highlight focused or hovered
    elements only.
 5. Audio muting – users with hearing devices may experience headaches or other
    issues due to automatic audio playing. This option lets users mute the
    entire website instantly.
 6. Cognitive disorders – we utilize a search engine linked to Wikipedia and
    Wiktionary, allowing people with cognitive disorders to decipher meanings of
    phrases, initials, slang, and others.
 7. Additional functions – we allow users to change cursor color and size, use a
    printing mode, enable a virtual keyboard, and many other functions.

Assistive technology and browser compatibility

We aim to support as many browsers and assistive technologies as possible, so
our users can choose the best fitting tools for them, with as few limitations as
possible. Therefore, we have worked very hard to be able to support all major
systems that comprise over 95% of the user market share, including Google
Chrome, Mozilla Firefox, Apple Safari, Opera and Microsoft Edge, JAWS, and NVDA
(screen readers), both for Windows and MAC users.

Notes, comments, and feedback

Despite our very best efforts to allow anybody to adjust the website to their
needs, there may still be pages or sections that are not fully accessible, are
in the process of becoming accessible, or are lacking an adequate technological
solution to make them accessible. Still, we are continually improving our
accessibility, adding, updating, improving its options and features, and
developing and adopting new technologies. All this is meant to reach the optimal
level of accessibility following technological advancements. If you wish to
contact the website’s owner, please use the website's form

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