elysium-health.myklpages.com Open in urlscan Pro
2606:4700::6812:149b  Public Scan

Form analysis
2 forms found in the DOM

POST

<form action="" id="unsubscribe_form" method="POST" role="form" class="form-horizontal" novalidate="novalidate">
  <input type="hidden" name="$fields" value="EmailInterests,EmailFrequency">
  <input type="hidden" name="$list_fields" value="EmailInterests">
  <input type="hidden" name="$unsubscribed_url" value="/p/unsubscribe_reason">
  <!--<p class="required-fields">
           <span>*</span> Required Information
           </p>-->
  <div class="form-group">
    <label for="email" class="col-sm-3 control-label">Email Address<span class="required" aria-required="true">*</span></label>
    <div class="col-sm-9">
      <input type="email" class="form-control" id="unsub_email" name="$email" value="



                        ">
    </div>
  </div>
  <div class="checkbox">
    <label>
      <input type="hidden" name="$unsubscribe" value="true" checked="">
    </label>
  </div>
</form>

POST

<form action="" id="preferences_form" method="POST" role="form" class="form-horizontal" novalidate="novalidate">
  <input type="hidden" name="$fields" value="UnsubscribeReason">
  <input type="hidden" name="$list_fields" value="EmailInterests">
  <!-- <input type="hidden" name="$updated_profile_url" value="/p/preferences_updated" /> -->
  <!--<p class="required-fields">
           <span>*</span> Required Information
           </p>-->
  <div class="form-group hidden">
    <label for="email" class="col-sm-3 control-label">Email Address<span class="required" aria-required="true">*</span></label>
    <div class="col-sm-9">
      <input type="email" class="form-control" id="email" name="$email" value="


                        ">
    </div>
  </div>
  <div class="form-group">
    <label class="col-sm-3 control-label">Reason for <br class="desktop"> unsubscribe</label>
    <div class="col-sm-9">
      <div class="radio">
        <label>
          <!-- Default value. -->
          <input type="radio" name="UnsubscribeReason" id="unsubcribe_reason_0" value="didntSignup"> I don't remember signing up </label>
      </div>
      <div class="radio">
        <label>
          <input type="radio" name="UnsubscribeReason" id="unsubcribe_reason_1" value="irrelevantContent"> I don't find the content relevant to me </label>
      </div>
      <div class="radio">
        <label>
          <input type="radio" name="UnsubscribeReason" id="unsubcribe_reason_2" value="dontUseProducts"> I don't use the products anymore </label>
      </div>
      <div class="radio">
        <label>
          <input type="radio" name="UnsubscribeReason" id="unsubcribe_reason_3" value="tooManyEmails"> I receive too many emails </label>
      </div>
      <div class="radio">
        <label>
          <input type="radio" name="UnsubscribeReason" id="unsubcribe_reason_4" value="troubleReceivingEmails"> I'm having trouble receiving or viewing emails </label>
      </div>
      <div class="radio">
        <label>
          <input type="radio" name="UnsubscribeReason" id="unsubcribe_reason_5" value="emailsTooLong"> The emails are too long </label>
      </div>
      <div class="radio">
        <label>
          <input type="radio" name="UnsubscribeReason" id="unsubcribe_reason_6" value="changedEmailAddress"> I changed my email address </label>
      </div>
    </div>
  </div>
  <div class="clearfix form-actions">
    <div class="col-sm-3"></div>
    <div class="col-sm-9">
      <button type="submit" class="btn btn-success btn-primary" id="unsubscribe">Unsubscribe</button>
    </div>
  </div>
</form>

Text Content

SUBMIT YOUR DETAILS BELOW TO UNSUBSCRIBE FROM
ELYSIUM HEALTH'S MARKETING MESSAGES:

Email Address*


Email Address*

Reason for
unsubscribe
I don't remember signing up
I don't find the content relevant to me
I don't use the products anymore
I receive too many emails
I'm having trouble receiving or viewing emails
The emails are too long
I changed my email address
Unsubscribe