survey.usabilla.com Open in urlscan Pro
18.173.154.117  Public Scan

Submitted URL: http://survey.usabilla.com/live/s/5faed6ea1faeee21760f97be?reset?csr=lisa_jonesC:
Effective URL: http://survey.usabilla.com/live/i/5d3aff6f87ed3b457b0ab7d4/b18699bf7d54973e30334ea7f74ecef253f397e6.html?reset?csr=lisa_jon...
Submission: On February 22 via manual from US — Scanned from DE

Form analysis 1 forms found in the DOM

Name: form

<form campaign-form="" name="form" id="poll" ng-submit="submit()" ub-action="//w.usabilla.com/incoming" ng-class="'type-' + currentPage.type" class="ng-pristine ng-valid ng-scope type-form ng-valid-required">
  <!-- ngIf: campaign.data.progressBar.active -->
  <!-- ngRepeat: control in currentPage.fields -->
  <div ng-repeat="control in currentPage.fields" ub-field="" control="control" data="data" on-auto-submit="autoSubmitForm(control)" class="control-container control-rating"><!-- ngIf: !hide --><!-- ngInclude: template -->
    <div ng-if="!hide" ng-include="template" class="ng-scope">
      <div ng-form="form" class="ng-pristine ng-valid ng-scope ng-valid-required">
        <!-- ngIf: control.title -->
        <h3 id="CSAT_Rep" ng-if="control.title" class="ng-binding ng-scope">Based on your recent interaction, how satisfied are you with the service provided by your Dot representative?</h3><!-- end ngIf: control.title -->
        <!-- ngIf: control.mode == 'slider' && state.supportsRange -->
        <!-- ngIf: control.mode == 'radio' || !state.supportsRange -->
        <ul class="inline text-below abs" ng-if="control.mode == 'radio' || !state.supportsRange" ng-class="{abs: control.textPositioning != 'beforeafter'}">
          <!-- ngRepeat: option in getRange() -->
          <li ng-repeat="option in getRange()" ng-class="{'text-container': ($first || $last)}" class="ng-scope text-container">
            <label class="ng-binding">
              <!-- ngIf: control.low && $first --><span class="text low ng-binding ng-scope" ng-if="control.low &amp;&amp; $first">Low</span><!-- end ngIf: control.low && $first -->
              <input aria-labelledby="CSAT_Rep" type="radio" ng-required="required" name="radio-CSAT_Rep" ng-model="data[control.name]" value="1" aria-checked="false" ng-change="autoSubmit(control)"
                class="ng-pristine ng-untouched ng-valid ng-empty ng-valid-required"> 1 <!-- ngIf: control.high && $last -->
            </label>
          </li><!-- end ngRepeat: option in getRange() -->
          <li ng-repeat="option in getRange()" ng-class="{'text-container': ($first || $last)}" class="ng-scope">
            <label class="ng-binding">
              <!-- ngIf: control.low && $first -->
              <input aria-labelledby="CSAT_Rep" type="radio" ng-required="required" name="radio-CSAT_Rep" ng-model="data[control.name]" value="2" aria-checked="false" ng-change="autoSubmit(control)"
                class="ng-pristine ng-untouched ng-valid ng-empty ng-valid-required"> 2 <!-- ngIf: control.high && $last -->
            </label>
          </li><!-- end ngRepeat: option in getRange() -->
          <li ng-repeat="option in getRange()" ng-class="{'text-container': ($first || $last)}" class="ng-scope">
            <label class="ng-binding">
              <!-- ngIf: control.low && $first -->
              <input aria-labelledby="CSAT_Rep" type="radio" ng-required="required" name="radio-CSAT_Rep" ng-model="data[control.name]" value="3" aria-checked="false" ng-change="autoSubmit(control)"
                class="ng-pristine ng-untouched ng-valid ng-empty ng-valid-required"> 3 <!-- ngIf: control.high && $last -->
            </label>
          </li><!-- end ngRepeat: option in getRange() -->
          <li ng-repeat="option in getRange()" ng-class="{'text-container': ($first || $last)}" class="ng-scope">
            <label class="ng-binding">
              <!-- ngIf: control.low && $first -->
              <input aria-labelledby="CSAT_Rep" type="radio" ng-required="required" name="radio-CSAT_Rep" ng-model="data[control.name]" value="4" aria-checked="false" ng-change="autoSubmit(control)"
                class="ng-pristine ng-untouched ng-valid ng-empty ng-valid-required"> 4 <!-- ngIf: control.high && $last -->
            </label>
          </li><!-- end ngRepeat: option in getRange() -->
          <li ng-repeat="option in getRange()" ng-class="{'text-container': ($first || $last)}" class="ng-scope text-container">
            <label class="ng-binding">
              <!-- ngIf: control.low && $first -->
              <input aria-labelledby="CSAT_Rep" type="radio" ng-required="required" name="radio-CSAT_Rep" ng-model="data[control.name]" value="5" aria-checked="false" ng-change="autoSubmit(control)"
                class="ng-pristine ng-untouched ng-valid ng-empty ng-valid-required"> 5 <!-- ngIf: control.high && $last --><span class="text high ng-binding ng-scope"
                ng-if="control.high &amp;&amp; $last">High</span><!-- end ngIf: control.high && $last -->
            </label>
          </li><!-- end ngRepeat: option in getRange() -->
        </ul><!-- end ngIf: control.mode == 'radio' || !state.supportsRange -->
        <!-- ngIf: form.$invalid && state.submitted -->
      </div>
    </div><!-- end ngIf: !hide -->
  </div><!-- end ngRepeat: control in currentPage.fields -->
  <div ng-repeat="control in currentPage.fields" ub-field="" control="control" data="data" on-auto-submit="autoSubmitForm(control)" class="control-container control-rating"><!-- ngIf: !hide --><!-- ngInclude: template -->
    <div ng-if="!hide" ng-include="template" class="ng-scope">
      <div ng-form="form" class="ng-pristine ng-valid ng-scope ng-valid-required">
        <!-- ngIf: control.title -->
        <h3 id="CSAT_Dot" ng-if="control.title" class="ng-binding ng-scope">How satisfied are you with Dot Foods overall?</h3><!-- end ngIf: control.title -->
        <!-- ngIf: control.mode == 'slider' && state.supportsRange -->
        <!-- ngIf: control.mode == 'radio' || !state.supportsRange -->
        <ul class="inline text-below abs" ng-if="control.mode == 'radio' || !state.supportsRange" ng-class="{abs: control.textPositioning != 'beforeafter'}">
          <!-- ngRepeat: option in getRange() -->
          <li ng-repeat="option in getRange()" ng-class="{'text-container': ($first || $last)}" class="ng-scope text-container">
            <label class="ng-binding">
              <!-- ngIf: control.low && $first --><span class="text low ng-binding ng-scope" ng-if="control.low &amp;&amp; $first">Low</span><!-- end ngIf: control.low && $first -->
              <input aria-labelledby="CSAT_Dot" type="radio" ng-required="required" name="radio-CSAT_Dot" ng-model="data[control.name]" value="1" aria-checked="false" ng-change="autoSubmit(control)"
                class="ng-pristine ng-untouched ng-valid ng-empty ng-valid-required"> 1 <!-- ngIf: control.high && $last -->
            </label>
          </li><!-- end ngRepeat: option in getRange() -->
          <li ng-repeat="option in getRange()" ng-class="{'text-container': ($first || $last)}" class="ng-scope">
            <label class="ng-binding">
              <!-- ngIf: control.low && $first -->
              <input aria-labelledby="CSAT_Dot" type="radio" ng-required="required" name="radio-CSAT_Dot" ng-model="data[control.name]" value="2" aria-checked="false" ng-change="autoSubmit(control)"
                class="ng-pristine ng-untouched ng-valid ng-empty ng-valid-required"> 2 <!-- ngIf: control.high && $last -->
            </label>
          </li><!-- end ngRepeat: option in getRange() -->
          <li ng-repeat="option in getRange()" ng-class="{'text-container': ($first || $last)}" class="ng-scope">
            <label class="ng-binding">
              <!-- ngIf: control.low && $first -->
              <input aria-labelledby="CSAT_Dot" type="radio" ng-required="required" name="radio-CSAT_Dot" ng-model="data[control.name]" value="3" aria-checked="false" ng-change="autoSubmit(control)"
                class="ng-pristine ng-untouched ng-valid ng-empty ng-valid-required"> 3 <!-- ngIf: control.high && $last -->
            </label>
          </li><!-- end ngRepeat: option in getRange() -->
          <li ng-repeat="option in getRange()" ng-class="{'text-container': ($first || $last)}" class="ng-scope">
            <label class="ng-binding">
              <!-- ngIf: control.low && $first -->
              <input aria-labelledby="CSAT_Dot" type="radio" ng-required="required" name="radio-CSAT_Dot" ng-model="data[control.name]" value="4" aria-checked="false" ng-change="autoSubmit(control)"
                class="ng-pristine ng-untouched ng-valid ng-empty ng-valid-required"> 4 <!-- ngIf: control.high && $last -->
            </label>
          </li><!-- end ngRepeat: option in getRange() -->
          <li ng-repeat="option in getRange()" ng-class="{'text-container': ($first || $last)}" class="ng-scope text-container">
            <label class="ng-binding">
              <!-- ngIf: control.low && $first -->
              <input aria-labelledby="CSAT_Dot" type="radio" ng-required="required" name="radio-CSAT_Dot" ng-model="data[control.name]" value="5" aria-checked="false" ng-change="autoSubmit(control)"
                class="ng-pristine ng-untouched ng-valid ng-empty ng-valid-required"> 5 <!-- ngIf: control.high && $last --><span class="text high ng-binding ng-scope"
                ng-if="control.high &amp;&amp; $last">High</span><!-- end ngIf: control.high && $last -->
            </label>
          </li><!-- end ngRepeat: option in getRange() -->
        </ul><!-- end ngIf: control.mode == 'radio' || !state.supportsRange -->
        <!-- ngIf: form.$invalid && state.submitted -->
      </div>
    </div><!-- end ngIf: !hide -->
  </div><!-- end ngRepeat: control in currentPage.fields -->
  <div ng-repeat="control in currentPage.fields" ub-field="" control="control" data="data" on-auto-submit="autoSubmitForm(control)" class="control-container control-textArea"><!-- ngIf: !hide --><!-- ngInclude: template -->
    <div ng-if="!hide" ng-include="template" class="ng-scope">
      <div ng-form="form" ng-init="data[control.name] = data[control.name]||control.default||data[control.name]" class="ng-pristine ng-valid ng-scope ng-valid-required">
        <!-- ngIf: control.title -->
        <h3 ng-if="control.title" id="textArea-Share" class="ng-binding ng-scope">Would you like to share anything else?</h3><!-- end ngIf: control.title -->
        <textarea name="text" aria-labelledby="textArea-Share" ng-required="required" ng-model="data[control.name]" placeholder="" class="ng-pristine ng-untouched ng-valid ng-empty ng-valid-required"></textarea>
        <!-- ngIf: form.text.$invalid && state.submitted -->
      </div>
    </div><!-- end ngIf: !hide -->
  </div><!-- end ngRepeat: control in currentPage.fields -->
  <div ng-repeat="control in currentPage.fields" ub-field="" control="control" data="data" on-auto-submit="autoSubmitForm(control)" class="control-container control-radio"><!-- ngIf: !hide --><!-- ngInclude: template -->
    <div ng-if="!hide" ng-include="template" class="ng-scope">
      <div ng-form="form" class="ng-pristine ng-valid ng-scope ng-valid-required">
        <!-- ngIf: control.title -->
        <h3 ng-if="control.title" class="ng-binding ng-scope">Would you like Dot Foods to contact you?</h3><!-- end ngIf: control.title -->
        <ul ng-class="{inline: control.inline}">
          <!-- ngRepeat: option in optionsCopy | orderBy: 'randomToken' -->
          <li ng-repeat="option in optionsCopy | orderBy: 'randomToken'" class="ng-scope">
            <label class="ng-binding">
              <input type="radio" ng-required="required" name="radio-Contact" ng-model="data[control.name]" value="Yes" aria-checked="false" class="ng-pristine ng-untouched ng-valid ng-empty ng-valid-required"> Yes </label>
          </li><!-- end ngRepeat: option in optionsCopy | orderBy: 'randomToken' -->
          <li ng-repeat="option in optionsCopy | orderBy: 'randomToken'" class="ng-scope">
            <label class="ng-binding">
              <input type="radio" ng-required="required" name="radio-Contact" ng-model="data[control.name]" value="No" aria-checked="false" class="ng-pristine ng-untouched ng-valid ng-empty ng-valid-required"> No </label>
          </li><!-- end ngRepeat: option in optionsCopy | orderBy: 'randomToken' -->
        </ul>
        <!-- ngIf: state.submitted && form.$invalid -->
      </div>
    </div><!-- end ngIf: !hide -->
  </div><!-- end ngRepeat: control in currentPage.fields -->
  <div ng-repeat="control in currentPage.fields" ub-field="" control="control" data="data" on-auto-submit="autoSubmitForm(control)" class="control-container control-email"><!-- ngIf: !hide --></div><!-- end ngRepeat: control in currentPage.fields -->
  <div ng-repeat="control in currentPage.fields" ub-field="" control="control" data="data" on-auto-submit="autoSubmitForm(control)" class="control-container control-continue"><!-- ngIf: !hide --><!-- ngInclude: template -->
    <div ng-if="!hide" ng-include="template" class="ng-scope">
      <div class="button ng-scope">
        <button type="submit" ng-click="validate()" id="button" class="btn ng-binding"> Submit </button>
        <!-- ngIf: control.cancel && $root.showClose !== false -->
      </div>
    </div><!-- end ngIf: !hide -->
  </div><!-- end ngRepeat: control in currentPage.fields -->
  <!-- ngIf: $root.hasCompletedForm -->
</form>

Text Content

×



BASED ON YOUR RECENT INTERACTION, HOW SATISFIED ARE YOU WITH THE SERVICE
PROVIDED BY YOUR DOT REPRESENTATIVE?

   
 * Low 1
   
 * 2
   
 * 3
   
 * 4
   
 * 5 High
   


HOW SATISFIED ARE YOU WITH DOT FOODS OVERALL?

   
 * Low 1
   
 * 2
   
 * 3
   
 * 4
   
 * 5 High
   


WOULD YOU LIKE TO SHARE ANYTHING ELSE?


WOULD YOU LIKE DOT FOODS TO CONTACT YOU?

   
 * Yes
   
 * No
   


Submit
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