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Effective URL: https://pages.upwellness.com/inflammation-quiz/?offer=77&session_id=102f6f6f3af0baa691eb7d3b1647ce&n=tune&cid=10_PH32823&mid=...
Submission: On March 28 via api from BE — Scanned from DE
Effective URL: https://pages.upwellness.com/inflammation-quiz/?offer=77&session_id=102f6f6f3af0baa691eb7d3b1647ce&n=tune&cid=10_PH32823&mid=...
Submission: On March 28 via api from BE — Scanned from DE
Form analysis
1 forms found in the DOMPOST
<form action="" class="full_length_box" id="inflammation-form" method="POST"><span class="pfont"><input id="custom_field_score" name="custom_field[score]" size="50" type="hidden" value="0"><input id="custom_field_listid" name="listid" size="50"
type="hidden" value="53287"><input id="custom_fields_source" name="custom_field[source]" size="50" type="hidden" value="inflquizak"><input id="custom_field_campaign" name="custom_field[campaign]" size="50" type="hidden"
value="10_PH32823"><input id="custom_field_coregcampaign" name="custom_field[coregcampaign]" size="50" value="0" type="hidden"><input id="custom_field_ardate" name="custom_field[ardate]" size="50" type="hidden" value="20230328"><input
id="custom_field_gender" name="custom_field[gender]" size="50" type="hidden" value="Female"><input id="custom_field_age_range" name="custom_field[age_range]" size="50" type="hidden" value=""><input id="custom_field_rsid"
name="custom_field[rsid]" size="50" type="hidden" value="QSFBInflamQuiz"><input id="custom_field_mid" name="custom_field[mid]" size="50" type="hidden" value="10_PH32823"><input id="custom_field_country" name="custom_field[country]" size="50"
type="hidden" value=""><input type="hidden" id="customField7" name="customField7" class="hidden" value="checked"><input type="hidden" id="customField3" name="customField3" class="hidden" value=""><input type="hidden" id="customField2"
name="customField2" class="hidden" value="inflquiz-ak"><input id="customField4" name="customField4" size="50" type="hidden" value=""><input id="customField5" name="customField5" size="50" type="hidden"
value="102f6f6f3af0baa691eb7d3b1647ce"><input id="customField6" name="customField6" size="50" type="hidden" value=""><input id="customField7" name="customField7" size="50" type="hidden" value=""><input type="hidden" id="AFFID" name="affid"
class="hidden" value="477232"><input type="hidden" id="subid" name="subid" class="hidden" value="10_PH32823"><input type="hidden" id="mid" name="mid" class="hidden" value="10_PH32823"><input type="hidden" id="cid" name="cid" class="hidden"
value="10_PH32823"><input id="customField1" name="customField1" size="50" type="hidden" value=""><input id="custom_fields_sessionid" name="custom_fields_sessionid" size="50" type="hidden" value="102f6f6f3af0baa691eb7d3b1647ce"><input
id="custom_fields_offerid" name="custom_fields_offerid" size="50" type="hidden" value="77"><input id="custom_fields_n" name="custom_fields_n" size="50" type="hidden" value="tune"><input id="partner_id" name="custom_fields_partner_id" size="50"
type="hidden" value="10"></span>
<div class="questions" style="color:white; height: 0px;">.</div>
<div class="questions">
<p class="qtext"><span class="pfont"><strong class="strongclass"><span style="font-size: 16px;">Please select your gender.</span></strong></span></p>
<p class="qtext"><span style="font-size: 16px;"><span class="pfont"><select class="fsField custom_field_gender" name="custom_field_gender" size="1"> <option value="Male">Male</option>
<option value="Female">Female</option>
</select></span></span></p>
</div>
<div class="questions">
<p class="qtext"><span style="font-size: 16px;"><span class="pfont"><strong class="strongclass">What is your age range?</strong></span></span></p>
<p class="qtext"><span style="font-size: 16px;"><span class="pfont"><input class="custom_field_age_range" name="custom_field_age_range" type="radio" value="18-30"> 18-30</span></span></p>
<p class="qtext"><span style="font-size: 16px;"><span class="pfont"><input class="custom_field_age_range" name="custom_field_age_range" type="radio" value="30-40"> 30-40</span></span></p>
<p class="qtext"><span style="font-size: 16px;"><span class="pfont"><input class="custom_field_age_range" name="custom_field_age_range" type="radio" value="40-50"> 40-50</span></span></p>
<p class="qtext"><span style="font-size: 16px;"><span class="pfont"><input class="custom_field_age_range" name="custom_field_age_range" type="radio" value="Over 50"> 50+</span></span></p>
</div>
<div class="questions">
<p class="qtext"><span style="font-size: 16px;"><strong class="strongclass">Do your joints feel sore, achy, or stiff?</strong></span></p>
<p class="qtext"><span style="font-size: 16px;"><span class="pfont"><input class="total" name="question2" type="radio" value="5"> Always or Often</span></span></p>
<p class="qtext"><span style="font-size: 16px;"><span class="pfont"><input class="total" name="question2" type="radio" value="3"> Sometimes</span></span></p>
<p class="qtext"><span style="font-size: 16px;"><span class="pfont"><input class="total" name="question2" type="radio" value="1"> Rarely or Never</span></span></p>
</div>
<div class="questions">
<p class="qtext"><span style="font-size: 16px;"><strong class="strongclass">Is your skin sensitive or prone to breakouts like acne, eczema, or psoriasis?</strong></span></p>
<p class="qtext"><span class="pfont"><input class="total" name="question3" type="radio" value="5"> Always or Often</span></p>
<p class="qtext"><span class="pfont"><input class="total" name="question3" type="radio" value="3"> Sometimes</span></p>
<p class="qtext"><span class="pfont"><input class="total" name="question3" type="radio" value="1"> Rarely or Never</span> </p>
</div>
<div class="questions">
<p><span style="font-size: 16px;"><strong>Do you eat processed/packaged foods?</strong></span></p>
<p class="qtext"><span style="font-size: 16px;"><span class="pfont"><input class="total" name="question4" type="radio" value="5"> Always or Often</span></span></p>
<p class="qtext"><span style="font-size: 16px;"><span class="pfont"><input class="total" name="question4" type="radio" value="3"> Sometimes</span></span></p>
<p class="qtext"><span style="font-size: 16px;"><span class="pfont"><input class="total" name="question4" type="radio" value="1"> <span class="bgtransparent">Rarely or Never</span></span></span></p>
</div>
<div class="questions">
<p><span style="font-size: 16px;"><span class="pfont"><strong>Do you drink soda?</strong></span></span></p>
<p class="qtext"><span style="font-size: 16px;"><span class="pfont"><input class="total" name="question5" type="radio" value="5"> Always or Often</span></span></p>
<p class="qtext"><span style="font-size: 16px;"><span class="pfont"><input class="total" name="question5" type="radio" value="3"> Sometimes</span></span></p>
<p class="qtext"><span style="font-size: 16px;"><span class="pfont"><input class="total" name="question5" type="radio" value="1"> Rarely or Never</span></span></p>
</div>
<div class="questions">
<p><span style="font-size: 16px;"><span class="pfont"><strong>Is stress a big part of your daily life? (work, money, family, relationships, health…they can all be stressful)</strong></span></span></p>
<p class="qtext"><span style="font-size: 16px;"><span class="pfont"><input class="total" name="question6" type="radio" value="5"> Always or Often</span></span></p>
<p class="qtext"><span style="font-size: 16px;"><span class="pfont"><input class="total" name="question6" type="radio" value="3"> Sometimes</span></span></p>
<p class="qtext"><span style="font-size: 16px;"><span class="pfont"><input class="total" name="question6" type="radio" value="1"> Rarely or Never</span></span></p>
</div>
<div class="questions">
<p><span style="font-size: 16px;"><span class="pfont"><strong>Do you get colds or respiratory infections?</strong></span></span></p>
<p class="qtext"><span style="font-size: 16px;"><span class="pfont"><input class="total" name="question7" type="radio" value="5"> Always or Often</span></span></p>
<p class="qtext"><span style="font-size: 16px;"><span class="pfont"><input class="total" name="question7" type="radio" value="3"> Sometimes</span></span></p>
<p class="qtext"><span style="font-size: 16px;"><span class="pfont"><input class="total" name="question7" type="radio" value="1"> Rarely or Never</span></span></p>
</div>
<div class="questions">
<p><span style="font-size: 16px;"><span class="pfont"><strong>Do you get more than 30 minutes of physical activity every day?</strong></span></span></p>
<p class="qtext"><span style="font-size: 16px;"><span class="pfont"><input class="total" name="question8" type="radio" value="1"> Always or Often</span></span></p>
<p class="qtext"><span style="font-size: 16px;"><span class="pfont"><input class="total" name="question8" type="radio" value="3"> Sometimes</span></span></p>
<p class="qtext"><span style="font-size: 16px;"><span class="pfont"><input class="total" name="question8" type="radio" value="5"> Rarely or Never</span></span></p>
</div>
<div class="questions">
<p><span style="font-size: 16px;"><span class="pfont"><strong>Do you have diabetes, pre-diabetes or an autoimmune disorder?</strong></span></span></p>
<p class="qtext"><span style="font-size: 16px;"><span class="pfont"><input class="total" name="question15" type="radio" value="10"> Yes</span></span></p>
<p class="qtext"><span style="font-size: 16px;"><span class="pfont"><input class="total" name="question15" type="radio" value="0"> No</span></span></p>
</div>
<div class="question_email">
<div class="question email-section"><span style="font-size: 16px;"> </span></div><span style="font-size: 16px;"><span class="emailtext"><strong class="text01">Enter Your Best Email Address Now to Discover Your Inflammation Score and Receive
Our Recipe Guide Featuring 10 Foods that Flight Inflammation and Joint Pain for FREE:</strong><br><input class="fsField fsFormatEmail fsRequired" id="contact_fields_email" name="contact_fields[email]" required="required" size="50"
type="email" value=""></span> <!-- these are validations for email --> <div id="invalid_email1" style="color:#860017;"><span class="pfont">Please enter a valid email.</span></div> <div id="invalid_email2" style="color:#860017;">
<span class="pfont">Email is not valid. Please retry.</span></div> <div id="required_all_questions" style="color: rgb(134, 0, 23); display: none;"><span class="pfont">You did not answer all the questions.</span></div> <div
style="border: 0px; text-align: center; background: transparent;"> </div><span class="pfont"><input id="btn" name="submit" src="https://www.thealternativedaily.com/wp-content/uploads/2016/07/getmyscorebtn.jpg" type="submit"
value=""></span> </span>
</div>
</form>
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