centerstoneillinois.myworxhub.com
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Submitted URL: http://centerstoneillinois.myworxhub.com/Surveys/SurveyEmail/PBa_ngkSPSjKZuJLWzyaBw2
Effective URL: https://centerstoneillinois.myworxhub.com/Surveys/SurveyEmail/PBa_ngkSPSjKZuJLWzyaBw2
Submission: On March 01 via manual from US — Scanned from DE
Effective URL: https://centerstoneillinois.myworxhub.com/Surveys/SurveyEmail/PBa_ngkSPSjKZuJLWzyaBw2
Submission: On March 01 via manual from US — Scanned from DE
Form analysis
2 forms found in the DOMPOST /Surveys/Email/SaveSurvey
<form id="survey-form" action="/Surveys/Email/SaveSurvey" method="post">
<input type="hidden" name="SurveyInstanceId" id="SurveyInstanceId" value="PBa_ngkSPSjKZuJLWzyaBw2">
<input type="hidden" name="FinishLater" id="FinishLater">
<div class="page-container container_24">
<div class="clear"></div>
<h2 id="SurveyTemplateName">FD Maintenance Satisfaction Survey</h2>
<div class="clear"></div>
<div class="grid_25 alpha omega survey-page survey-question-page">
<div id="SurveyQuestionsDestinationContainer">
<div class="score-container"> <input type="hidden" id="MaxRate" value="2"> <span>Progress: <span id="totalAnswered">0</span> of <span id="totalQuestions">3</span> questions complete</span>
<div id="scoreBarAnswers" role="progressbar" aria-valuemin="0" class="ui-progressbar ui-corner-all ui-widget ui-widget-content" aria-valuemax="100" aria-valuenow="0" style="background: white; height: 15px;">
<div class="ui-progressbar-value ui-corner-left ui-widget-header" style="display: none; width: 0%; background: rgb(0, 153, 0);"></div>
</div>
</div>
<div class="clear"></div> <span style="font-size: 11pt; color: rgb(89, 89, 89);"></span>
<div id="survey-questions-container">
<div style="margin-top: 40px;">
<div class="ui-text selected" style="font-size: 14pt; font-weight: bold; text-align: right; padding-right: 80px; float:right;"> Score: <span id="survey-score" style="margin-right: 20px">N/A</span> Percent: <span
id="survey-percent">N/A</span>% </div>
</div>
<div class="clear"></div> <input type="hidden" name="QuestionModel.Questions[0].IsGrouping" value="false">
<div class="survey-question-row"> <input type="hidden" name="QuestionModel.Questions[0].EncryptedSurveyQuestionId" class="survey-question-id" value="BJ8y4zNTIn2_lJBDSpXCzg2"> <input type="hidden"
name="QuestionModel.Questions[0].EncryptedSurveyAnwserId" value="">
<div class="survey-question-question-name ">Are you in the Southern Region?</div>
<div class="survey-answer-action-container">
<a href="#" class="js-link survey-answer-exclude"> <input type="hidden" name="QuestionModel.Questions[0].Excluded" class="survey-answer-exclude-input" value="false"> <span class="display-text"> Exclude </span> </a>
<a href="#" class="js-link survey-answer-comment">Comment</a>
<div class="grid_12 alpha omega survey-answer-comment-container">
<p class="control-label" style="color: White; padding: 0px 0px 3px 4px;">Are you in the Southern Region?</p>
<div class="clear"></div> <textarea name="QuestionModel.Questions[0].Comment" class="grid_8 alpha"></textarea>
<div class="grid_3 omega"> <input type="button" value="Save"> <a href="#" class="survey-question-comment-cancel">Cancel</a> </div>
</div>
</div>
<div class="survey-answer-items-container"> <input type="hidden" name="QuestionModel.Questions[0].Answer" class="answer-value" value="-1">
<div class="radio-square radio-rating-scale " data-value="1"> <span class="rating-label">1</span> </div>
<div class="radio-square radio-rating-scale " data-value="2"> <span class="rating-label">2</span> </div>
<div class="survey-header-container">
<div class="survey-question-header">Yes</div>
<div class="survey-question-header">No</div>
</div>
</div>
</div>
<div class="clear"></div> <input type="hidden" name="QuestionModel.Questions[1].IsGrouping" value="false">
<div class="survey-question-row"> <input type="hidden" name="QuestionModel.Questions[1].EncryptedSurveyQuestionId" class="survey-question-id" value="eDZBI1eTeBo2xAEdwDV6gA2"> <input type="hidden"
name="QuestionModel.Questions[1].EncryptedSurveyAnwserId" value="">
<div class="survey-question-question-name ">Are you in the Western Region?</div>
<div class="survey-answer-action-container">
<a href="#" class="js-link survey-answer-exclude"> <input type="hidden" name="QuestionModel.Questions[1].Excluded" class="survey-answer-exclude-input" value="false"> <span class="display-text"> Exclude </span> </a>
<a href="#" class="js-link survey-answer-comment">Comment</a>
<div class="grid_12 alpha omega survey-answer-comment-container">
<p class="control-label" style="color: White; padding: 0px 0px 3px 4px;">Are you in the Western Region?</p>
<div class="clear"></div> <textarea name="QuestionModel.Questions[1].Comment" class="grid_8 alpha"></textarea>
<div class="grid_3 omega"> <input type="button" value="Save"> <a href="#" class="survey-question-comment-cancel">Cancel</a> </div>
</div>
</div>
<div class="survey-answer-items-container"> <input type="hidden" name="QuestionModel.Questions[1].Answer" class="answer-value" value="-1">
<div class="radio-square radio-rating-scale " data-value="1"> <span class="rating-label">1</span> </div>
<div class="radio-square radio-rating-scale " data-value="2"> <span class="rating-label">2</span> </div>
<div class="survey-header-container">
<div class="survey-question-header">Yes</div>
<div class="survey-question-header">No</div>
</div>
</div>
</div>
<div class="clear"></div> <input type="hidden" name="QuestionModel.Questions[2].IsGrouping" value="false">
<div class="survey-question-row" style="border: none;"> <input type="hidden" name="QuestionModel.Questions[2].EncryptedSurveyQuestionId" class="survey-question-id" value="iRrMxfuqMEli8tjlc93-Ow2"> <input type="hidden"
name="QuestionModel.Questions[2].EncryptedSurveyAnwserId" value="">
<div class="survey-question-question-name ">Were your needs met per the work order submitted? If not, please provide feedback by clicking on COMMENT to the right. Thank you!</div>
<div class="survey-answer-action-container">
<a href="#" class="js-link survey-answer-exclude"> <input type="hidden" name="QuestionModel.Questions[2].Excluded" class="survey-answer-exclude-input" value="false"> <span class="display-text"> Exclude </span> </a>
<a href="#" class="js-link survey-answer-comment">Comment</a>
<div class="grid_12 alpha omega survey-answer-comment-container">
<p class="control-label" style="color: White; padding: 0px 0px 3px 4px;">Were your needs met per the work order submitted? If not, please provide feedback by clicking on COMMENT to the right. Thank you!</p>
<div class="clear"></div> <textarea name="QuestionModel.Questions[2].Comment" class="grid_8 alpha"></textarea>
<div class="grid_3 omega"> <input type="button" value="Save"> <a href="#" class="survey-question-comment-cancel">Cancel</a> </div>
</div>
</div>
<div class="survey-answer-items-container"> <input type="hidden" name="QuestionModel.Questions[2].Answer" class="answer-value" value="-1">
<div class="radio-square radio-rating-scale " data-value="1"> <span class="rating-label">1</span> </div>
<div class="radio-square radio-rating-scale " data-value="2"> <span class="rating-label">2</span> </div>
<div class="survey-header-container">
<div class="survey-question-header">Yes</div>
<div class="survey-question-header">No</div>
</div>
</div>
</div>
<div class="clear"></div>
</div>
</div>
</div>
<div class="clear"></div>
<div class="grid_25 alpha omega survey-buttons-panel">
<div class="floatright">
<button type="button" class="rbk-button-main finish-later-button">Save Where I'm At. I'll Finish Later</button>
<button type="button" class="rbk-button-main finish-button disabled ui-state-disabled" disabled="">I'm Done! Mark This as Complete</button>
</div>
</div>
</div>
</form>
POST /Global/Role/SetPermission
<form action="/Global/Role/SetPermission" method="post">
<input type="hidden" id="model" name="model" value="">
<input type="hidden" id="component" name="component" value="">
<input type="radio" name="permission" value="1"><span style="font-weight: normal;">No permissions (default)</span><br><br>
<input type="radio" name="permission" value="3"><span style="font-weight: normal;">May <span style="font-weight: bold;">READ</span> only</span><br><br>
<input type="radio" name="permission" value="4"><span style="font-weight: normal;">May <span style="font-weight: bold;">MODIFY</span></span><br><br>
<div style="text-align: center; position: relative; bottom: 1px;">
<input id="SaveModelConfig" name="SaveModelConfig" style="top: -5px;" value="Save" type="button">
<input id="CancelModelConfig" name="CancelModelConfig" style="top: -5px;" value="Cancel" type="button">
</div>
</form>
Text Content
FD MAINTENANCE SATISFACTION SURVEY Progress: 0 of 3 questions complete Score: N/A Percent: N/A% Are you in the Southern Region? Exclude Comment Are you in the Southern Region? Cancel 1 2 Yes No Are you in the Western Region? Exclude Comment Are you in the Western Region? Cancel 1 2 Yes No Were your needs met per the work order submitted? If not, please provide feedback by clicking on COMMENT to the right. Thank you! Exclude Comment Were your needs met per the work order submitted? If not, please provide feedback by clicking on COMMENT to the right. Thank you! Cancel 1 2 Yes No Save Where I'm At. I'll Finish Later I'm Done! Mark This as Complete Success! Your survey has been saved. Thanks for your feedback! Terms of Use | Privacy | System Status | Mobile Version Your server today will be AWWXPDMLTWEBCDC Tooltip Model Permission Editor Close No permissions (default) May READ only May MODIFY