quescreen.com Open in urlscan Pro
199.34.10.33  Public Scan

Submitted URL: http://quescreen.com/work-health-status-reports/
Effective URL: https://quescreen.com/work-health-status-reports/
Submission: On March 19 via api from LU — Scanned from AU

Form analysis 2 forms found in the DOM

GET https://quescreen.com/

<form role="search" method="get" class="search-form" action="https://quescreen.com/">
  <label>
    <span class="screen-reader-text">Search for:</span>
    <input type="search" class="search-field" placeholder="Search …" value="" name="s">
  </label>
  <input type="submit" class="search-submit" value="Search">
</form>

POST /work-health-status-reports/#wpcf7-f336-o1

<form action="/work-health-status-reports/#wpcf7-f336-o1" method="post" class="wpcf7-form init theme_0 errorMsgshow" aria-label="Contact form" novalidate="novalidate" data-status="init">
  <div style="display: none;">
    <input type="hidden" name="_wpcf7" value="336">
    <input type="hidden" name="_wpcf7_version" value="5.8">
    <input type="hidden" name="_wpcf7_locale" value="en_AU">
    <input type="hidden" name="_wpcf7_unit_tag" value="wpcf7-f336-o1">
    <input type="hidden" name="_wpcf7_container_post" value="0">
    <input type="hidden" name="_wpcf7_posted_data_hash" value="">
    <input type="hidden" name="_wpcf7cf_hidden_group_fields" value="[]">
    <input type="hidden" name="_wpcf7cf_hidden_groups" value="[]">
    <input type="hidden" name="_wpcf7cf_visible_groups" value="[]">
    <input type="hidden" name="_wpcf7cf_repeaters" value="[]">
    <input type="hidden" name="_wpcf7cf_steps" value="{}">
    <input type="hidden" name="_wpcf7cf_options"
      value="{&quot;form_id&quot;:336,&quot;conditions&quot;:[],&quot;settings&quot;:{&quot;animation&quot;:&quot;yes&quot;,&quot;animation_intime&quot;:200,&quot;animation_outtime&quot;:200,&quot;conditions_ui&quot;:&quot;normal&quot;,&quot;notice_dismissed&quot;:false,&quot;notice_dismissed_rollback-cf7-5.3.2&quot;:true,&quot;notice_dismissed_update-cf7-5.8&quot;:true}}">
  </div>
  <div class="d-flex flex-column justify-content-center px-3">
    <div class="col-12 text-white py-3">
      <p><span style="font-size:30px">Enquire Now</span><br>
        <span>Let us know where you are from and wer will</span><br>
        <span>be in touch if we can service your country</span>
      </p>
    </div>
    <div class="col-12">
      <div class="form-group">
        <p><span class="wpcf7-form-control-wrap" data-name="firstname"><input size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control required" aria-required="true" aria-invalid="false" placeholder="First Name *"
              value="" type="text" name="firstname"></span>
        </p>
      </div>
    </div>
    <div class="col-12">
      <div class="form-group">
        <p><span class="wpcf7-form-control-wrap" data-name="lastname"><input size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control required" aria-required="true" aria-invalid="false" placeholder="Last Name *"
              value="" type="text" name="lastname"></span>
        </p>
      </div>
    </div>
    <div class="col-12">
      <div class="form-group">
        <p><span class="wpcf7-form-control-wrap" data-name="emailaddress"><input size="40" class="wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email form-control required email" aria-required="true"
              aria-invalid="false" placeholder="Work Email *" value="" type="email" name="emailaddress"></span>
        </p>
      </div>
    </div>
    <div class="col-12">
      <div class="form-group">
        <p><span class="wpcf7-form-control-wrap" data-name="phonenumber"><input size="40" class="wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel form-control required" aria-required="true"
              aria-invalid="false" placeholder="Phone Number *" value="" type="tel" name="phonenumber"></span>
        </p>
      </div>
    </div>
    <div class="col-12">
      <div class="form-group">
        <p><span class="wpcf7-form-control-wrap" data-name="companyname"><input size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control required" aria-required="true" aria-invalid="false" placeholder="Company Name *"
              value="" type="text" name="companyname"></span>
        </p>
      </div>
    </div>
    <div class="col-12">
      <div class="form-group">
        <p><span class="wpcf7-form-control-wrap" data-name="companysize"><input size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control required" aria-required="true" aria-invalid="false" placeholder="Company Size *"
              value="" type="text" name="companysize"></span>
        </p>
      </div>
    </div>
    <div class="col-12">
      <div class="form-group">
        <p><span class="wpcf7-form-control-wrap" data-name="jobtitle"><input size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control required" aria-required="true" aria-invalid="false" placeholder="Job Title *"
              value="" type="text" name="jobtitle"></span>
        </p>
      </div>
    </div>
    <div class="col-12">
      <div class="form-group">
        <p><span class="wpcf7-form-control-wrap" data-name="country"><input size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control required" aria-required="true" aria-invalid="false" placeholder="Country *" value=""
              type="text" name="country"></span>
        </p>
      </div>
    </div>
    <div class="col-12">
      <p><input class="wpcf7-form-control wpcf7-submit has-spinner btn btn-q-flame w-md-25 w-100-xs form-control" type="submit" value="Submit"><span class="wpcf7-spinner"></span>
      </p>
    </div>
    <div class="col-12 pb-3">
      <p><span>Have you been allocated a Quescreen to complete? <a href="https://quescreen.au/candidate-sign-up/" style="color: #8c8c8c !important; text-decoration: underline;">Click Here</a></span>
      </p>
    </div>
  </div><input type="hidden" class="wpcf7-pum" value="{&quot;closepopup&quot;:false,&quot;closedelay&quot;:0,&quot;openpopup&quot;:false,&quot;openpopup_id&quot;:0}">
  <div class="wpcf7-response-output" aria-hidden="true"></div>
  <input type="hidden" name="pum_form_popup_id" value="2344">
</form>

Text Content

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