assessment.yourenneagramcoach.com Open in urlscan Pro
2606:4700:3032::6815:15b6  Public Scan

Form analysis
1 forms found in the DOM

Name: reportForm —

<form name="reportForm" novalidate="" class="ng-pristine ng-invalid ng-invalid-required ng-valid-email">
  <div class="form-group">
    <input type="text" name="name" class="form-control ng-pristine ng-untouched ng-empty ng-invalid ng-invalid-required" placeholder="First Name" ng-model="name" ng-class="{'is-invalid': reportForm.name.$dirty &amp;&amp; reportForm.name.$invalid}"
      required="">
    <div class="invalid-feedback" ng-show="reportForm.name.$error.required"> The name is required. </div>
  </div>
  <div class="form-group">
    <input type="email" name="email" class="form-control ng-pristine ng-untouched ng-empty ng-valid-email ng-invalid ng-invalid-required" placeholder="Email" ng-model="email"
      ng-class="{'is-invalid': reportForm.email.$dirty &amp;&amp; reportForm.email.$invalid}" required="">
    <span class="invalid-feedback" ng-show="reportForm.email.$error.required">The email is required.</span>
    <span class="invalid-feedback ng-hide" ng-show="reportForm.email.$error.email">Invalid email address.</span>
  </div>
  <h6 class="text-left">To Help us better serve you:</h6>
  <div class="radio-group">
    <div>
      <div>Are you married?</div>
      <div class="form-check">
        <input class="form-check-input ng-pristine ng-untouched ng-valid ng-empty" type="radio" name="married" id="married1" value="1" ng-model="married" checked="">
        <label class="form-check-label" for="married1"> Yes </label>
      </div>
      <div class="form-check">
        <input class="form-check-input ng-pristine ng-untouched ng-valid ng-empty" type="radio" name="married" id="married0" ng-model="married" value="0">
        <label class="form-check-label" for="married0"> No </label>
      </div>
    </div>
    <div>
      <div>Do you have children under the age of 18?</div>
      <div class="form-check">
        <input class="form-check-input ng-pristine ng-untouched ng-valid ng-empty" type="radio" name="age" id="age1" value="1" ng-model="age" checked="">
        <label class="form-check-label" for="age1"> Yes </label>
      </div>
      <div class="form-check">
        <input class="form-check-input ng-pristine ng-untouched ng-valid ng-empty" type="radio" name="age" id="age0" value="0" ng-model="age">
        <label class="form-check-label" for="age0"> No </label>
      </div>
    </div>
  </div>
  <p class="policy"> By clicking the button below, you agree to our <a href="https://www.yourenneagramcoach.com/pages/terms" target="_blank">Terms of Service</a> and
    <a href="https://www.yourenneagramcoach.com/pages/privacy-policy" target="_blank">Privacy Policy</a>. <br><br> Your privacy is protected. We hate spam and will never share your contact info. </p>
  <button type="submit" ng-click="onReport()" class="button ng-binding" ng-disabled="reportForm.name.$invalid || reportForm.email.$invalid || married===undefined || age===undefined || loading" disabled="disabled"> SUBMIT </button>
</form>

Text Content

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The name is required.
The email is required. Invalid email address.

TO HELP US BETTER SERVE YOU:

Are you married?
Yes
No
Do you have children under the age of 18?
Yes
No

By clicking the button below, you agree to our Terms of Service and Privacy
Policy.

Your privacy is protected. We hate spam and will never share your contact info.

SUBMIT
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