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Form analysis
1 forms found in the DOM

POST 1LifeDistributionSurvey.php?Action=Submit&DBID=83&MMID=525083

<form style="text-align: center; " autocomplete="off" id="SurveyForm" action="1LifeDistributionSurvey.php?Action=Submit&amp;DBID=83&amp;MMID=525083" method="post">
  <div>
    <div id="SurveyDiv" class="row">
      <div>
        <div class="col-md-12">
          <h1>How was your overall experience with 1Life?</h1>
          <div class="rating">
            <input type="radio" value="5" name="Ques1" id="r-1">
            <label for="r-1"></label>
            <input type="radio" value="4" name="Ques1" id="r-2">
            <label for="r-2"></label>
            <input type="radio" value="3" name="Ques1" id="r-3">
            <label for="r-3"></label>
            <input type="radio" value="2" name="Ques1" id="r-4">
            <label for="r-4"></label>
            <input type="radio" value="1" name="Ques1" id="r-5">
            <label for="r-5"></label>
          </div>
          <table>
          </table>
        </div>
      </div>
      <br>
      <br>
      <div class="row">
        <div class="col-md-12">
          <h1>How likely are you to recommend 1Life to your family and friends?</h1>
          <div class="rating2">
            <input type="radio" value="5" name="Ques2" id="r-6">
            <label for="r-6"></label>
            <input type="radio" value="4" name="Ques2" id="r-7">
            <label for="r-7"></label>
            <input type="radio" value="3" name="Ques2" id="r-8">
            <label for="r-8"></label>
            <input type="radio" value="2" name="Ques2" id="r-9">
            <label for="r-9"></label>
            <input type="radio" value="1" name="Ques2" id="r-10">
            <label for="r-10"></label>
          </div>
          <table>
            <tbody>
              <tr>
              </tr>
            </tbody>
          </table>
        </div>
        <br><br><br>
        <div class="well-sm" style="height:20px;"></div>
        <br>
        <div class="row">
          <div class="col-md-12">
            <button style="float:none;" onclick="submit();" id="submitBtn" class="btn submitBtn1 btn-sm">Submit</button> <br>
          </div>
        </div>
      </div>
    </div>
    <br>
  </div>
</form>

Text Content

HOW WAS YOUR OVERALL EXPERIENCE WITH 1LIFE?








HOW LIKELY ARE YOU TO RECOMMEND 1LIFE TO YOUR FAMILY AND FRIENDS?










Submit