ciel.njcrm.in Open in urlscan Pro
103.109.7.141  Public Scan

Form analysis
1 forms found in the DOM

POST https://ciel.njcrm.in/smart-feedback/post

<form method="POST" action="https://ciel.njcrm.in/smart-feedback/post" accept-charset="UTF-8" class="m-0"><input name="_token" type="hidden" value="rpcuvZsecp9y4dUpWAS9Bcrq6LUmVe8cjXl5YUHJ">
  <input class="form-control form-control-sm editable_element " id="response" data-element-type="hidden" name="response" type="hidden"
    value="{&quot;id&quot;:&quot;0336c092-824f-4de1-b562-e9390a4d92be&quot;,&quot;amp;redirect_url&quot;:&quot;https:\/\/ciel.co.in\/&quot;,&quot;amp;feedback_status&quot;:&quot;Excellent&quot;}">
  <input id="feedback_status" class="form-control form-control-sm editable_element " data-element-type="hidden" name="feedback_status" type="hidden" value="">
  <div class="smart-feedback center-flex">
    <div class="smart-feedback-col">
      <div class="row">
        <div class="col-md-12 smart-feedback-col-2st">
          <div class="row">
            <div class="col-2 fd-logo">
              <img src="https://ciel.njcrm.in/image/crm-logo.svg">
            </div>
            <div class="col-10 fd-info">
              <span>Feel free to drop us your feedback</span>
              <p>Your feedback is very important for us</p>
            </div>
            <div class="col-md-12 fd-img center-flex">
              <img class="img-fluid" src="https://ciel.njcrm.in/image/smart-feedback.png">
            </div>
            <div class="col-md-12">
              <label for="name" class="feedback-label col-form-label col-form-label-sm editable_element " id="lbl_name" data-element-type="label">Please share your valuable Feedback &amp; Experience for Ticket No.</label>
            </div>
            <div class="col-md-12 rate-emoji mb-2">
              <ul class="list-group list-group-horizontal">
                <li class="list-group-item" data-val="Excellent">
                  <a class="" title="Excellent">
                                            <i class="far fa-grin-beam"></i>
                                            <span class="emoji-text">Excellent</span>
                                        </a>
                </li>
                <li class="list-group-item" data-val="Great">
                  <a class="" title="Great">
                                            <i class="far fa-smile"></i>
                                            <span class="emoji-text">Excellent</span>
                                        </a>
                </li>
                <li class="list-group-item" data-val="Good">
                  <a class="" title="Good">
                                            <i class="far fa-meh"></i>
                                            <span class="emoji-text">Good</span>
                                        </a>
                </li>
                <li class="list-group-item" data-val="Fair">
                  <a class="" title="Fair">
                                            <i class="far fa-frown"></i>
                                            <span class="emoji-text">Fair</span>
                                        </a>
                </li>
                <li class="list-group-item" data-val="Poor">
                  <a class="" title="Poor">
                                            <i class="far fa-angry"></i>
                                            <span class="emoji-text">Poor</span>
                                        </a>
                </li>
              </ul>
            </div>
            <div class="col-md-12 mb-2">
              <label for="name" class="feedback-label col-form-label col-form-label-sm editable_element " id="lbl_name" data-element-type="label">Description / Summary</label>
            </div>
            <div class="col-md-12 mb-3">
              <textarea class="form-control form-control-sm editable_element " id="description" data-element-type="textarea" rows="3" name="description" cols="50"></textarea>
              <div class="invalid-feedback"></div>
            </div>
            <div class="col-md-12 end-flex">
              <div class="btn-group custom-btngrp" role="group">
                <button name="btn_save" iconclass="fa fa-paper-plane" class="btn btn-outline-primary" id="btn_save" data-element-type="button" type="submit"><i class="fa fa-paper-plane"></i><span>Send Feedback</span></button>
              </div>
            </div>
          </div>
        </div>
      </div>
    </div>
  </div>
</form>

Text Content

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Feel free to drop us your feedback

Your feedback is very important for us


Please share your valuable Feedback & Experience for Ticket No.
 * Excellent
 * Excellent
 * Good
 * Fair
 * Poor

Description / Summary

Send Feedback