companion.worldcue.com Open in urlscan Pro
13.224.193.56  Public Scan

Submitted URL: https://respond.worldcue.com/rKkg2uz
Effective URL: https://companion.worldcue.com/survey/rKkg2uz
Submission: On September 22 via manual from LK — Scanned from DE

Form analysis 1 forms found in the DOM

<form class="ant-form ant-form-vertical SurveyResponseForm">
  <div class="ant-row ant-form-item">
    <div class="ant-col ant-form-item-control-wrapper">
      <div class="ant-form-item-control"><span class="ant-form-item-children">
          <div class="ant-card ant-card-bordered">
            <div class="ant-card-head">
              <div class="ant-card-head-wrapper">
                <div class="ant-card-head-title"><span class="InfoLabel ant-form-item"><span class="label"><span>Confirm Status: <span class="ant-form-item-required"></span></span></span><svg aria-hidden="true" focusable="false" data-prefix="fas"
                      data-icon="question-circle" class="svg-inline--fa fa-question-circle fa-w-16 InfoPopoverIcon icon" role="img" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 512 512" tabindex="0">
                      <path fill="currentColor"
                        d="M504 256c0 136.997-111.043 248-248 248S8 392.997 8 256C8 119.083 119.043 8 256 8s248 111.083 248 248zM262.655 90c-54.497 0-89.255 22.957-116.549 63.758-3.536 5.286-2.353 12.415 2.715 16.258l34.699 26.31c5.205 3.947 12.621 3.008 16.665-2.122 17.864-22.658 30.113-35.797 57.303-35.797 20.429 0 45.698 13.148 45.698 32.958 0 14.976-12.363 22.667-32.534 33.976C247.128 238.528 216 254.941 216 296v4c0 6.627 5.373 12 12 12h56c6.627 0 12-5.373 12-12v-1.333c0-28.462 83.186-29.647 83.186-106.667 0-58.002-60.165-102-116.531-102zM256 338c-25.365 0-46 20.635-46 46 0 25.364 20.635 46 46 46s46-20.636 46-46c0-25.365-20.635-46-46-46z">
                      </path>
                    </svg><span class="secondary"></span><span class="clearfix"></span></span></div>
              </div>
            </div>
            <div class="ant-card-body">
              <div class="ant-radio-group ant-radio-group-outline radio-group-vertical"><label class="ant-radio-wrapper"><span class="ant-radio"><input type="radio" class="ant-radio-input" value="614209"><span
                      class="ant-radio-inner"></span></span><span>OK</span></label><label class="ant-radio-wrapper"><span class="ant-radio"><input type="radio" class="ant-radio-input" value="614210"><span
                      class="ant-radio-inner"></span></span><span>Need Assistance</span></label></div>
              <div class="ant-row ant-form-item no-bottom-margin">
                <div class="ant-col ant-form-item-label"><label class="" title=""><span>Comments</span></label></div>
                <div class="ant-col ant-form-item-control-wrapper">
                  <div class="ant-form-item-control"><span class="ant-form-item-children"><input type="text" class="ant-input" value=""></span></div>
                </div>
              </div>
            </div>
          </div>
        </span></div>
    </div>
  </div>
</form>

Text Content

You need to enable JavaScript to run this app.
Communication/
Survey Response

Confirm Status:
OKNeed Assistance
Comments


Submit Response
This site uses cookies to enhance your user experience
If you continue browsing the site, you are consenting to our use of cookies.
Please read our Cookie Policy for more information.