www.surveymonkey.com Open in urlscan Pro
13.225.78.16  Public Scan

Submitted URL: http://www.surveymonkey.com/r/KPPMCare12
Effective URL: https://www.surveymonkey.com/survey-closed?sm=JKBuzy1ExRnPVgmo3eWqmOgs_2FVX1VtpY_2BtHvIXyHugL4r1OWhL3GLHTERVYQBz4SL0vyjGdkz5i...
Submission Tags: falconsandbox
Submission: On August 30 via api from US — Scanned from DE

Form analysis 1 forms found in the DOM

POST /user/sign-up/?ut_source=survey-closed&ut_source2=RebrandEpForm&ut_source3=HeroFormCTA&ut_ctatext=Create%20Free%20Account

<form id="signup_form" method="post" action="/user/sign-up/?ut_source=survey-closed&amp;ut_source2=RebrandEpForm&amp;ut_source3=HeroFormCTA&amp;ut_ctatext=Create%20Free%20Account" data-testid="HeroFormCTA__Form">
  <div class="wrenchBox-0-2-66 wrenchBox-d0-0-2-67 wrenchSpacing-0-2-64 wrenchSpacing-d0-0-2-65" style="z-index:1000"><input type="hidden" name="gre_token" value="">
    <div class="wrenchToastContainer-0-2-68 wrenchToastContainer-d0-0-2-72"></div>
  </div><input type="hidden" name="username" class="input-username" value=""><input type="hidden" name="password_confirm" class="input-password_confirm" value="">
  <div class="ctaFormField-0-2-52 ctaFormField-d0-0-2-60 wrenchBox-0-2-10 wrenchBox-d9-0-2-83 wrenchSpacing-0-2-8 wrenchSpacing-d9-0-2-82"><label class="ctaLabel-0-2-53" for="email-input"><span
        class="wrenchTypography-0-2-14 wrenchTypography-d3-0-2-84">Email Address</span></label><input class="wrenchInput-0-2-85 wrenchInput-d0-0-2-86" id="email-input" name="email" type="email" placeholder="you@example.com" required="" value="">
  </div>
  <div class="ctaFormField-0-2-52 ctaFormField-d0-0-2-60 wrenchBox-0-2-10 wrenchBox-d10-0-2-88 wrenchSpacing-0-2-8 wrenchSpacing-d10-0-2-87"><label class="ctaLabel-0-2-53" for="password-input"><span
        class="wrenchTypography-0-2-14 wrenchTypography-d4-0-2-89">Password</span></label><input class="wrenchInput-0-2-85 wrenchInput-d1-0-2-90" id="password-input" name="password" type="password" placeholder="(at least 8 characters)" required=""
      value=""></div>
  <div class="ctaFormField-0-2-52 ctaFormField-d0-0-2-60 wrenchBox-0-2-10 wrenchBox-d11-0-2-92 wrenchSpacing-0-2-8 wrenchSpacing-d11-0-2-91"><span class="wrenchCheckbox-0-2-95 wrenchCheckbox-d0-0-2-100"><input
        class="wrenchCheckboxNative-0-2-99 wrenchCheckboxNative-d4-0-2-104" aria-checked="false" id="privacy-consents" name="privacy-consents" tabindex="0" type="checkbox" required=""><span
        class="wrenchCheckboxFaux-0-2-96 wrenchCheckboxFaux-d1-0-2-101" aria-hidden="true"><svg class="wrenchIcons-0-2-12 wrenchIcons-d1-0-2-105" viewBox="0 0 16 16" preserveAspectRatio="xMidYMid" aria-label="Check" role="img" aria-hidden="true">
          <g>
            <path d="M14.716 2.226a.747.747 0 0 1 1.06-.01.757.757 0 0 1 .082.98l-.072.086-10.25 10.492a.747.747 0 0 1-.98.079l-.085-.074L.224 9.51a.757.757 0 0 1 0-1.066.747.747 0 0 1 .976-.073l.084.073 3.712 3.732 9.72-9.95z"></path>
          </g>
        </svg></span><span class="wrenchCheckboxLabel-0-2-97 wrenchCheckboxLabel-d2-0-2-102"><label for="privacy-consents"><span class="wrenchTypography-0-2-14 wrenchTypography-d5-0-2-106"><span>I agree to the
              <a href="/mp/legal/terms-of-use/">Terms of Use</a> and understand my data will be handled in accordance with the <a href="/mp/legal/privacy-policy/">Privacy Policy</a>.</span></span></label></span></span></div>
  <div class="ctaFormField-0-2-52 ctaFormField-d0-0-2-60 wrenchBox-0-2-10 wrenchBox-d12-0-2-108 wrenchSpacing-0-2-8 wrenchSpacing-d12-0-2-107"><span class="wrenchCheckbox-0-2-95 wrenchCheckbox-d5-0-2-109"><input
        class="wrenchCheckboxNative-0-2-99 wrenchCheckboxNative-d9-0-2-113" aria-checked="false" id="subscribe-to-newsletter" name="subscribe-to-newsletter" tabindex="0" type="checkbox"><span
        class="wrenchCheckboxFaux-0-2-96 wrenchCheckboxFaux-d6-0-2-110" aria-hidden="true"><svg class="wrenchIcons-0-2-12 wrenchIcons-d2-0-2-114" viewBox="0 0 16 16" preserveAspectRatio="xMidYMid" aria-label="Check" role="img" aria-hidden="true">
          <g>
            <path d="M14.716 2.226a.747.747 0 0 1 1.06-.01.757.757 0 0 1 .082.98l-.072.086-10.25 10.492a.747.747 0 0 1-.98.079l-.085-.074L.224 9.51a.757.757 0 0 1 0-1.066.747.747 0 0 1 .976-.073l.084.073 3.712 3.732 9.72-9.95z"></path>
          </g>
        </svg></span><span class="wrenchCheckboxLabel-0-2-97 wrenchCheckboxLabel-d7-0-2-111"><label for="subscribe-to-newsletter"><span class="wrenchTypography-0-2-14 wrenchTypography-d6-0-2-115">I do not want to receive information and offers
            relevant to SurveyMonkey services via email. You can also opt-out of these emails in your My Account page anytime.</span></label></span></span></div><button
    class="wrenchButton-0-2-116 wrenchButton-d0-0-2-118 wrenchButton--solid wrenchButton--primary" type="button" aria-pressed="false">Create Free Account</button>
</form>

Text Content

This survey is currently closed. To give feedback or submit an inquiry, please
email the following: For California residents, please email
reconnect@keystonepacific.com For Colorado residents, please email
mgonzalez@keystonepacific.com
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