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143.204.89.72  Public Scan

Form analysis
1 forms found in the DOM

Name: surveyForm — POST

<form name="surveyForm" action="" method="post" enctype="multipart/form-data" novalidate="" data-survey-page-form="">
  <div class="questions clearfix">
    <div class="question-row clearfix 
                   ">
      <div data-question-type="open_ended_single" data-rq-question-type="open_ended" class="question-container
    
        
        
    
    ">
        <div id="question-field-75160109" data-qnumber="1" data-qdispnumber="1" data-question-id="75160109" class=" question-open-ended-single qn question single question-required">
          <h3 class="screenreader-only">Question Title</h3>
          <div class=" question-fieldset question-legend">
            <h4 id="question-title-75160109" class=" question-title-container ">
              <span class="required-asterisk notranslate"> * </span>
              <span class="question-number notranslate"> 1<span class="question-dot">.</span>
              </span>
              <span class="user-generated notranslate  
                "> Name:</span>
            </h4>
            <div class="question-body clearfix notranslate ">
              <div id="open-ended-single_75160109" data-question-id="75160109" data-response="" data-sm-open-single="" maxlength="20000" data-ng="true" data-required="true" data-size="50" data-labeledby="question-title-75160109">
                <div class="question-body open-ended-single"><input aria-labelledby="question-title-75160109" id="75160109" aria-required="true" data-sm-open-single="true" maxlength="20000" class="wds-input wds-input--lg qt-input_text text"
                    name="75160109" size="50" value=""></div>
              </div>
            </div>
          </div>
        </div>
      </div>
    </div>
    <div class="question-row clearfix 
                   ">
      <div data-question-type="open_ended_single" data-rq-question-type="open_ended" class="question-container
    
        
        
    
    ">
        <div id="question-field-75160110" data-qnumber="2" data-qdispnumber="2" data-question-id="75160110" class=" question-open-ended-single qn question single question-required">
          <h3 class="screenreader-only">Question Title</h3>
          <div class=" question-fieldset question-legend">
            <h4 id="question-title-75160110" class=" question-title-container ">
              <span class="required-asterisk notranslate"> * </span>
              <span class="question-number notranslate"> 2<span class="question-dot">.</span>
              </span>
              <span class="user-generated notranslate  
                "> Phone number: </span>
            </h4>
            <div class="question-body clearfix notranslate ">
              <div id="open-ended-single_75160110" data-question-id="75160110" data-response="" data-sm-open-single="" maxlength="20000" data-ng="true" data-required="true" data-size="50" data-labeledby="question-title-75160110">
                <div class="question-body open-ended-single"><input aria-labelledby="question-title-75160110" id="75160110" aria-required="true" data-sm-open-single="true" maxlength="20000" class="wds-input wds-input--lg qt-input_text text"
                    name="75160110" size="50" value=""></div>
              </div>
            </div>
          </div>
        </div>
      </div>
    </div>
    <div class="question-row clearfix 
                   ">
      <div data-question-type="open_ended_single" data-rq-question-type="open_ended" class="question-container
    
        
        
    
    ">
        <div id="question-field-75160111" data-qnumber="3" data-qdispnumber="3" data-question-id="75160111" class=" question-open-ended-single qn question single question-required">
          <h3 class="screenreader-only">Question Title</h3>
          <div class=" question-fieldset question-legend">
            <h4 id="question-title-75160111" class=" question-title-container ">
              <span class="required-asterisk notranslate"> * </span>
              <span class="question-number notranslate"> 3<span class="question-dot">.</span>
              </span>
              <span class="user-generated notranslate  
                "> Email: </span>
            </h4>
            <div class="question-body clearfix notranslate ">
              <div id="open-ended-single_75160111" data-question-id="75160111" data-response="" data-sm-open-single="" maxlength="20000" data-ng="true" data-required="true" data-size="50" data-labeledby="question-title-75160111">
                <div class="question-body open-ended-single"><input aria-labelledby="question-title-75160111" id="75160111" aria-required="true" data-sm-open-single="true" maxlength="20000" class="wds-input wds-input--lg qt-input_text text"
                    name="75160111" size="50" value=""></div>
              </div>
            </div>
          </div>
        </div>
      </div>
    </div>
    <div class="question-row clearfix 
                   ">
      <div data-question-type="open_ended_single" data-rq-question-type="open_ended" class="question-container
    
        
        
    
    ">
        <div id="question-field-75160112" data-qnumber="4" data-qdispnumber="4" data-question-id="75160112" class=" question-open-ended-single qn question single question-required">
          <h3 class="screenreader-only">Question Title</h3>
          <div class=" question-fieldset question-legend">
            <h4 id="question-title-75160112" class=" question-title-container ">
              <span class="required-asterisk notranslate"> * </span>
              <span class="question-number notranslate"> 4<span class="question-dot">.</span>
              </span>
              <span class="user-generated notranslate  
                "> Linkedin/social media/ work email:</span>
            </h4>
            <div class="question-body clearfix notranslate ">
              <div id="open-ended-single_75160112" data-question-id="75160112" data-response="" data-sm-open-single="" maxlength="20000" data-ng="true" data-required="true" data-size="50" data-labeledby="question-title-75160112">
                <div class="question-body open-ended-single"><input aria-labelledby="question-title-75160112" id="75160112" aria-required="true" data-sm-open-single="true" maxlength="20000" class="wds-input wds-input--lg qt-input_text text"
                    name="75160112" size="50" value=""></div>
              </div>
            </div>
          </div>
        </div>
      </div>
    </div>
    <div class="question-row clearfix 
                   ">
      <div data-question-type="open_ended_single" data-rq-question-type="open_ended" class="question-container
    
        
        
    
    ">
        <div id="question-field-75356101" data-qnumber="5" data-qdispnumber="5" data-question-id="75356101" class=" question-open-ended-single qn question single question-required">
          <h3 class="screenreader-only">Question Title</h3>
          <div class=" question-fieldset question-legend">
            <h4 id="question-title-75356101" class=" question-title-container ">
              <span class="required-asterisk notranslate"> * </span>
              <span class="question-number notranslate"> 5<span class="question-dot">.</span>
              </span>
              <span class="user-generated notranslate  
                "> Job title:</span>
            </h4>
            <div class="question-body clearfix notranslate ">
              <div id="open-ended-single_75356101" data-question-id="75356101" data-response="" data-sm-open-single="" maxlength="20000" data-ng="true" data-required="true" data-size="50" data-labeledby="question-title-75356101">
                <div class="question-body open-ended-single"><input aria-labelledby="question-title-75356101" id="75356101" aria-required="true" data-sm-open-single="true" maxlength="20000" class="wds-input wds-input--lg qt-input_text text"
                    name="75356101" size="50" value=""></div>
              </div>
            </div>
          </div>
        </div>
      </div>
    </div>
    <div class="question-row clearfix 
                   ">
      <div data-question-type="single_choice_vertical" data-rq-question-type="single_choice_vertical" class="question-container
    
        
        
    
    ">
        <div id="question-field-75160113" data-qnumber="6" data-qdispnumber="6" data-question-id="75160113" class=" question-single-choice-radio qn question vertical question-required">
          <h3 class="screenreader-only">Question Title</h3>
          <fieldset class=" question-fieldset" data-radio-button-group="">
            <legend class="question-legend">
              <h4 id="question-title-75160113" class="
                     question-title-container ">
                <span class="required-asterisk notranslate"> * </span>
                <span class="question-number notranslate"> 6<span class="question-dot">.</span>
                </span>
                <span class="user-generated notranslate  
                "> Gender</span>
              </h4>
            </legend>
            <div class="question-body clearfix notranslate ">
              <div class="">
                <div class="answer-option-cell">
                  <div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-75160113">
                    <input id="75160113_600955126" aria-labelledby="75160113_600955126_label" name="75160113" type="radio" role="radio" class="radio-button-input " value="600955126" aria-checked="false">
                    <label data-sm-radio-button-label="" id="75160113_600955126_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="75160113_600955126">
                      <span class="radio-button-display ">
                      </span>
                      <span class="radio-button-label-text question-body-font-theme user-generated "> Male </span>
                    </label>
                  </div>
                </div>
                <div class="answer-option-cell">
                  <div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-75160113">
                    <input id="75160113_600955127" aria-labelledby="75160113_600955127_label" name="75160113" type="radio" role="radio" class="radio-button-input " value="600955127" aria-checked="false">
                    <label data-sm-radio-button-label="" id="75160113_600955127_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="75160113_600955127">
                      <span class="radio-button-display ">
                      </span>
                      <span class="radio-button-label-text question-body-font-theme user-generated "> Female </span>
                    </label>
                  </div>
                </div>
                <div class="answer-option-cell">
                  <div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-75160113">
                    <input id="75160113_600955128" aria-labelledby="75160113_600955128_label" name="75160113" type="radio" role="radio" class="radio-button-input " value="600955128" aria-checked="false">
                    <label data-sm-radio-button-label="" id="75160113_600955128_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="75160113_600955128">
                      <span class="radio-button-display ">
                      </span>
                      <span class="radio-button-label-text question-body-font-theme user-generated "> Other </span>
                    </label>
                  </div>
                </div>
                <div class="answer-option-cell">
                  <div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-75160113">
                    <input id="75160113_600955129" aria-labelledby="75160113_600955129_label" name="75160113" type="radio" role="radio" class="radio-button-input " value="600955129" aria-checked="false">
                    <label data-sm-radio-button-label="" id="75160113_600955129_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="75160113_600955129">
                      <span class="radio-button-display ">
                      </span>
                      <span class="radio-button-label-text question-body-font-theme user-generated "> Prefer not to say </span>
                    </label>
                  </div>
                </div>
              </div>
            </div>
          </fieldset>
        </div>
      </div>
    </div>
    <div class="question-row clearfix 
                   ">
      <div data-question-type="open_ended_single" data-rq-question-type="open_ended" class="question-container
    
        
        
    
    ">
        <div id="question-field-75160114" data-qnumber="7" data-qdispnumber="7" data-question-id="75160114" class=" question-open-ended-single qn question single question-required">
          <h3 class="screenreader-only">Question Title</h3>
          <div class=" question-fieldset question-legend">
            <h4 id="question-title-75160114" class=" question-title-container ">
              <span class="required-asterisk notranslate"> * </span>
              <span class="question-number notranslate"> 7<span class="question-dot">.</span>
              </span>
              <span class="user-generated notranslate  
                "> Age: </span>
            </h4>
            <div class="question-body clearfix notranslate ">
              <div id="open-ended-single_75160114" data-question-id="75160114" data-response="" data-sm-open-single="" maxlength="20000" data-ng="true" data-required="true" data-size="50" data-labeledby="question-title-75160114">
                <div class="question-body open-ended-single"><input aria-labelledby="question-title-75160114" id="75160114" aria-required="true" data-sm-open-single="true" maxlength="20000" class="wds-input wds-input--lg qt-input_text text"
                    name="75160114" size="50" value=""></div>
              </div>
            </div>
          </div>
        </div>
      </div>
    </div>
    <div class="question-row clearfix 
                   ">
      <div data-question-type="single_choice_vertical" data-rq-question-type="single_choice_vertical" class="question-container
    
        
        
    
    ">
        <div id="question-field-75160115" data-qnumber="8" data-qdispnumber="8" data-question-id="75160115" class=" question-single-choice-radio qn question vertical question-required" style="width:px;
            
            
            
            ">
          <h3 class="screenreader-only">Question Title</h3>
          <fieldset class=" question-fieldset" data-radio-button-group="">
            <legend class="question-legend">
              <h4 id="question-title-75160115" class="
                     question-title-container ">
                <span class="required-asterisk notranslate"> * </span>
                <span class="question-number notranslate"> 8<span class="question-dot">.</span>
                </span>
                <span class="user-generated notranslate  
                "> Where are you located:</span>
              </h4>
            </legend>
            <div class="question-body clearfix notranslate ">
              <div class="">
                <div class="answer-option-cell">
                  <div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-75160115">
                    <input id="75160115_600955130" aria-labelledby="75160115_600955130_label" name="75160115" type="radio" role="radio" class="radio-button-input " value="600955130" aria-checked="false">
                    <label data-sm-radio-button-label="" id="75160115_600955130_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="75160115_600955130">
                      <span class="radio-button-display ">
                      </span>
                      <span class="radio-button-label-text question-body-font-theme user-generated "> Germany </span>
                    </label>
                  </div>
                </div>
                <div class="answer-option-cell">
                  <div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-75160115">
                    <input id="75160115_600955131" aria-labelledby="75160115_600955131_label" name="75160115" type="radio" role="radio" class="radio-button-input " value="600955131" aria-checked="false">
                    <label data-sm-radio-button-label="" id="75160115_600955131_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="75160115_600955131">
                      <span class="radio-button-display ">
                      </span>
                      <span class="radio-button-label-text question-body-font-theme user-generated "> Austria </span>
                    </label>
                  </div>
                </div>
                <div class="answer-option-cell">
                  <div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-75160115">
                    <input id="75160115_600955132" aria-labelledby="75160115_600955132_label" name="75160115" type="radio" role="radio" class="radio-button-input " value="600955132" aria-checked="false">
                    <label data-sm-radio-button-label="" id="75160115_600955132_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="75160115_600955132">
                      <span class="radio-button-display ">
                      </span>
                      <span class="radio-button-label-text question-body-font-theme user-generated "> France </span>
                    </label>
                  </div>
                </div>
                <div class="answer-option-cell">
                  <div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-75160115">
                    <input id="75160115_600955133" aria-labelledby="75160115_600955133_label" name="75160115" type="radio" role="radio" class="radio-button-input " value="600955133" aria-checked="false">
                    <label data-sm-radio-button-label="" id="75160115_600955133_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="75160115_600955133">
                      <span class="radio-button-display ">
                      </span>
                      <span class="radio-button-label-text question-body-font-theme user-generated "> UK </span>
                    </label>
                  </div>
                </div>
                <div class="answer-option-cell">
                  <div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-75160115">
                    <input id="75160115_600955134" aria-labelledby="75160115_600955134_label" name="75160115" type="radio" role="radio" class="radio-button-input " value="600955134" aria-checked="false">
                    <label data-sm-radio-button-label="" id="75160115_600955134_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="75160115_600955134">
                      <span class="radio-button-display ">
                      </span>
                      <span class="radio-button-label-text question-body-font-theme user-generated "> America </span>
                    </label>
                  </div>
                </div>
                <div class="answer-option-cell">
                  <div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-75160115">
                    <input id="75160115_600955135" aria-labelledby="75160115_600955135_label" name="75160115" type="radio" role="radio" class="radio-button-input " value="600955135" aria-checked="false">
                    <label data-sm-radio-button-label="" id="75160115_600955135_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="75160115_600955135">
                      <span class="radio-button-display ">
                      </span>
                      <span class="radio-button-label-text question-body-font-theme user-generated "> Spain </span>
                    </label>
                  </div>
                </div>
                <div class="answer-option-cell">
                  <div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-75160115">
                    <input id="75160115_600955136" aria-labelledby="75160115_600955136_label" name="75160115" type="radio" role="radio" class="radio-button-input " value="600955136" aria-checked="false">
                    <label data-sm-radio-button-label="" id="75160115_600955136_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="75160115_600955136">
                      <span class="radio-button-display ">
                      </span>
                      <span class="radio-button-label-text question-body-font-theme user-generated "> Portugal </span>
                    </label>
                  </div>
                </div>
                <div class="answer-option-cell">
                  <div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-75160115">
                    <input id="75160115_600955137" aria-labelledby="75160115_600955137_label" name="75160115" type="radio" role="radio" class="radio-button-input " value="600955137" aria-checked="false">
                    <label data-sm-radio-button-label="" id="75160115_600955137_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="75160115_600955137">
                      <span class="radio-button-display ">
                      </span>
                      <span class="radio-button-label-text question-body-font-theme user-generated "> Canada </span>
                    </label>
                  </div>
                </div>
              </div>
              <div class="other-answer-container other-answer-option-container">
                <div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-75160115">
                  <input id="75160115_600958526" aria-labelledby="75160115_600958526_label" name="75160115" type="radio" role="radio" class="radio-button-input " value="600958526" aria-checked="false" data-other-answer="">
                  <label data-sm-radio-button-label="" id="75160115_600958526_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="75160115_600958526">
                    <span class="radio-button-display ">
                    </span>
                    <span class="radio-button-label-text question-body-font-theme user-generated "> Other (please specify) </span>
                  </label>
                </div>
                <input id="75160115_other" name="75160115_other" type="text" class="text other-answer-text" maxlength="20000" size="50" aria-label="Other (please specify)" data-other-text="">
              </div>
            </div>
          </fieldset>
        </div>
      </div>
    </div>
    <div class="question-row clearfix 
                   ">
      <div data-question-type="single_choice_vertical" data-rq-question-type="single_choice_vertical" class="question-container
    
        
        
    
    ">
        <div id="question-field-75160116" data-qnumber="9" data-qdispnumber="9" data-question-id="75160116" class=" question-single-choice-radio qn question vertical question-required">
          <h3 class="screenreader-only">Question Title</h3>
          <fieldset class=" question-fieldset" data-radio-button-group="">
            <legend class="question-legend">
              <h4 id="question-title-75160116" class="
                     question-title-container ">
                <span class="required-asterisk notranslate"> * </span>
                <span class="question-number notranslate"> 9<span class="question-dot">.</span>
                </span>
                <span class="user-generated notranslate  
                "> Technology knowledge:</span>
              </h4>
            </legend>
            <div class="question-body clearfix notranslate ">
              <div class="">
                <div class="answer-option-cell">
                  <div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-75160116">
                    <input id="75160116_600955139" aria-labelledby="75160116_600955139_label" name="75160116" type="radio" role="radio" class="radio-button-input " value="600955139" aria-checked="false">
                    <label data-sm-radio-button-label="" id="75160116_600955139_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="75160116_600955139">
                      <span class="radio-button-display ">
                      </span>
                      <span class="radio-button-label-text question-body-font-theme user-generated "> Very little knowledge </span>
                    </label>
                  </div>
                </div>
                <div class="answer-option-cell">
                  <div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-75160116">
                    <input id="75160116_600955140" aria-labelledby="75160116_600955140_label" name="75160116" type="radio" role="radio" class="radio-button-input " value="600955140" aria-checked="false">
                    <label data-sm-radio-button-label="" id="75160116_600955140_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="75160116_600955140">
                      <span class="radio-button-display ">
                      </span>
                      <span class="radio-button-label-text question-body-font-theme user-generated "> Moderate </span>
                    </label>
                  </div>
                </div>
                <div class="answer-option-cell">
                  <div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-75160116">
                    <input id="75160116_600955141" aria-labelledby="75160116_600955141_label" name="75160116" type="radio" role="radio" class="radio-button-input " value="600955141" aria-checked="false">
                    <label data-sm-radio-button-label="" id="75160116_600955141_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="75160116_600955141">
                      <span class="radio-button-display ">
                      </span>
                      <span class="radio-button-label-text question-body-font-theme user-generated "> High level of knowledge </span>
                    </label>
                  </div>
                </div>
                <div class="answer-option-cell">
                  <div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-75160116">
                    <input id="75160116_600955142" aria-labelledby="75160116_600955142_label" name="75160116" type="radio" role="radio" class="radio-button-input " value="600955142" aria-checked="false">
                    <label data-sm-radio-button-label="" id="75160116_600955142_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="75160116_600955142">
                      <span class="radio-button-display ">
                      </span>
                      <span class="radio-button-label-text question-body-font-theme user-generated "> Expert </span>
                    </label>
                  </div>
                </div>
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                <span class="user-generated notranslate  
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Text Content

DIGITAL WALLET PRE-SCREENER


PRE-SCREENER

Hello, SIS International is conducting a study on digital wallets. The purpose
of this study is to understand your relationship with digital wallets and
opinions. If you are interested in taking part, please take the pre-screener
below to see if you qualify. If you qualify and are selected, we will reach out
to you for a 1-1 compensated zoom interview that will be approximately 60
minutes long.


QUESTION TITLE

* 1. NAME:




QUESTION TITLE

* 2. PHONE NUMBER:




QUESTION TITLE

* 3. EMAIL:




QUESTION TITLE

* 4. LINKEDIN/SOCIAL MEDIA/ WORK EMAIL:




QUESTION TITLE

* 5. JOB TITLE:




QUESTION TITLE

* 6. GENDER

Male
Female
Other
Prefer not to say


QUESTION TITLE

* 7. AGE:




QUESTION TITLE

* 8. WHERE ARE YOU LOCATED:

Germany
Austria
France
UK
America
Spain
Portugal
Canada
Other (please specify)


QUESTION TITLE

* 9. TECHNOLOGY KNOWLEDGE:

Very little knowledge
Moderate
High level of knowledge
Expert


QUESTION TITLE

* 10. DO YOU PREFER TO CONDUCT THE INTERVIEW IN GERMAN OR ENGLISH?

English
German
Either


QUESTION TITLE

* 11. IF YOU ARE SELECTED AND HAVE COMPLETED THE INTERVIEW, WOULD YOU ALSO BE
INTERESTED IN BEING PART OF A FOLLOW UP FOCUS GROUP?

Yes
No
Done

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