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benjclark/surveymonkeycsat.html

Created August 10, 2022 14:04
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Survey Monkey Customer Satisfaction Survey Form
Raw
surveymonkeycsat.html
<form name="surveyForm" action="" method="post" enctype="multipart/form-data" novalidate="" data-survey-page-form="">
<div class="questions clearfix">
<div class="question-click-shield" tabindex="-1" style="height: 161px; width: 600px; display: none;"></div>
<div class="question-row clearfix" tabindex="-1">
<div data-question-type="matrix_rating" data-rq-question-type="net_promoter_score"
class="question-container ">
<div id="question-field-658323000" data-qnumber="1" data-qdispnumber="1" data-question-id="658323000"
class=" question-matrix-nps-table qn question rating"><h3 class="screenreader-only">Question
Title</h3>
<div class=" question-fieldset question-legend"><h4 id="question-title-658323000"
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 "> How likely is it that you would recommend this company to a friend or colleague?</span>
</h4>
<div class="question-body clearfix notranslate ">
<div class="nps-col-text-container">
<div class="question-body-font-theme nps-col-text-left "> NOT AT ALL LIKELY</div>
<div class="question-body-font-theme nps-col-text-right "> EXTREMELY LIKELY</div>
</div>
<div class="nps-pop-up"><span class="nps-pop-up-text"></span></div>
<table class="question-matrix-nps-table table-reset" cellspacing="0" role="presentation">
<thead>
<tr class="nps-col-position">
<td class="question-body-font-theme"> 0</td>
<td class="question-body-font-theme"> 1</td>
<td class="question-body-font-theme"> 2</td>
<td class="question-body-font-theme"> 3</td>
<td class="question-body-font-theme"> 4</td>
<td class="question-body-font-theme"> 5</td>
<td class="question-body-font-theme"> 6</td>
<td class="question-body-font-theme"> 7</td>
<td class="question-body-font-theme"> 8</td>
<td class="question-body-font-theme"> 9</td>
<td class="question-body-font-theme"> 10</td>
</tr>
</thead>
<tbody>
<tr data-nps="" data-radio-button-group="">
<td class="nps-radio-button-container no-touch touch-sensitive ">
<div data-sm-radio-button="" class="radio-button-container "
aria-labelledby="question-title-658323000"><input
id="658323000_7604621434_7604621435"
aria-labelledby="658323000_7604621434_7604621435_label"
name="658323000_7604621434" type="radio" role="radio"
class="radio-button-input " value="7604621435" aria-checked="false">
<label data-sm-radio-button-label=""
class="answer-label radio-button-label no-touch touch-sensitive clearfix nps-answer-label"
for="658323000_7604621434_7604621435"> <span data-position="0"
id="658323000_7604621434_7604621435_label"
class="radio-button-display "
aria-label="0"> 0 </span>
</label></div>
</td>
<td class="nps-radio-button-container no-touch touch-sensitive ">
<div data-sm-radio-button="" class="radio-button-container "
aria-labelledby="question-title-658323000"><input
id="658323000_7604621434_7604621436"
aria-labelledby="658323000_7604621434_7604621436_label"
name="658323000_7604621434" type="radio" role="radio"
class="radio-button-input " value="7604621436" aria-checked="false">
<label data-sm-radio-button-label=""
class="answer-label radio-button-label no-touch touch-sensitive clearfix nps-answer-label"
for="658323000_7604621434_7604621436"> <span data-position="1"
id="658323000_7604621434_7604621436_label"
class="radio-button-display "
aria-label="1"> 1 </span>
</label></div>
</td>
<td class="nps-radio-button-container no-touch touch-sensitive ">
<div data-sm-radio-button="" class="radio-button-container "
aria-labelledby="question-title-658323000"><input
id="658323000_7604621434_7604621437"
aria-labelledby="658323000_7604621434_7604621437_label"
name="658323000_7604621434" type="radio" role="radio"
class="radio-button-input " value="7604621437" aria-checked="false">
<label data-sm-radio-button-label=""
class="answer-label radio-button-label no-touch touch-sensitive clearfix nps-answer-label"
for="658323000_7604621434_7604621437"> <span data-position="2"
id="658323000_7604621434_7604621437_label"
class="radio-button-display "
aria-label="2"> 2 </span>
</label></div>
</td>
<td class="nps-radio-button-container no-touch touch-sensitive ">
<div data-sm-radio-button="" class="radio-button-container "
aria-labelledby="question-title-658323000"><input
id="658323000_7604621434_7604621438"
aria-labelledby="658323000_7604621434_7604621438_label"
name="658323000_7604621434" type="radio" role="radio"
class="radio-button-input " value="7604621438" aria-checked="false">
<label data-sm-radio-button-label=""
class="answer-label radio-button-label no-touch touch-sensitive clearfix nps-answer-label"
for="658323000_7604621434_7604621438"> <span data-position="3"
id="658323000_7604621434_7604621438_label"
class="radio-button-display "
aria-label="3"> 3 </span>
</label></div>
</td>
<td class="nps-radio-button-container no-touch touch-sensitive ">
<div data-sm-radio-button="" class="radio-button-container "
aria-labelledby="question-title-658323000"><input
id="658323000_7604621434_7604621439"
aria-labelledby="658323000_7604621434_7604621439_label"
name="658323000_7604621434" type="radio" role="radio"
class="radio-button-input " value="7604621439" aria-checked="false">
<label data-sm-radio-button-label=""
class="answer-label radio-button-label no-touch touch-sensitive clearfix nps-answer-label"
for="658323000_7604621434_7604621439"> <span data-position="4"
id="658323000_7604621434_7604621439_label"
class="radio-button-display "
aria-label="4"> 4 </span>
</label></div>
</td>
<td class="nps-radio-button-container no-touch touch-sensitive ">
<div data-sm-radio-button="" class="radio-button-container "
aria-labelledby="question-title-658323000"><input
id="658323000_7604621434_7604621440"
aria-labelledby="658323000_7604621434_7604621440_label"
name="658323000_7604621434" type="radio" role="radio"
class="radio-button-input " value="7604621440" aria-checked="false">
<label data-sm-radio-button-label=""
class="answer-label radio-button-label no-touch touch-sensitive clearfix nps-answer-label"
for="658323000_7604621434_7604621440"> <span data-position="5"
id="658323000_7604621434_7604621440_label"
class="radio-button-display "
aria-label="5"> 5 </span>
</label></div>
</td>
<td class="nps-radio-button-container no-touch touch-sensitive ">
<div data-sm-radio-button="" class="radio-button-container "
aria-labelledby="question-title-658323000"><input
id="658323000_7604621434_7604621441"
aria-labelledby="658323000_7604621434_7604621441_label"
name="658323000_7604621434" type="radio" role="radio"
class="radio-button-input " value="7604621441" aria-checked="false">
<label data-sm-radio-button-label=""
class="answer-label radio-button-label no-touch touch-sensitive clearfix nps-answer-label"
for="658323000_7604621434_7604621441"> <span data-position="6"
id="658323000_7604621434_7604621441_label"
class="radio-button-display "
aria-label="6"> 6 </span>
</label></div>
</td>
<td class="nps-radio-button-container no-touch touch-sensitive ">
<div data-sm-radio-button="" class="radio-button-container "
aria-labelledby="question-title-658323000"><input
id="658323000_7604621434_7604621442"
aria-labelledby="658323000_7604621434_7604621442_label"
name="658323000_7604621434" type="radio" role="radio"
class="radio-button-input " value="7604621442" aria-checked="false">
<label data-sm-radio-button-label=""
class="answer-label radio-button-label no-touch touch-sensitive clearfix nps-answer-label"
for="658323000_7604621434_7604621442"> <span data-position="7"
id="658323000_7604621434_7604621442_label"
class="radio-button-display "
aria-label="7"> 7 </span>
</label></div>
</td>
<td class="nps-radio-button-container no-touch touch-sensitive ">
<div data-sm-radio-button="" class="radio-button-container "
aria-labelledby="question-title-658323000"><input
id="658323000_7604621434_7604621443"
aria-labelledby="658323000_7604621434_7604621443_label"
name="658323000_7604621434" type="radio" role="radio"
class="radio-button-input " value="7604621443" aria-checked="false">
<label data-sm-radio-button-label=""
class="answer-label radio-button-label no-touch touch-sensitive clearfix nps-answer-label"
for="658323000_7604621434_7604621443"> <span data-position="8"
id="658323000_7604621434_7604621443_label"
class="radio-button-display "
aria-label="8"> 8 </span>
</label></div>
</td>
<td class="nps-radio-button-container no-touch touch-sensitive ">
<div data-sm-radio-button="" class="radio-button-container "
aria-labelledby="question-title-658323000"><input
id="658323000_7604621434_7604621444"
aria-labelledby="658323000_7604621434_7604621444_label"
name="658323000_7604621434" type="radio" role="radio"
class="radio-button-input " value="7604621444" aria-checked="false">
<label data-sm-radio-button-label=""
class="answer-label radio-button-label no-touch touch-sensitive clearfix nps-answer-label"
for="658323000_7604621434_7604621444"> <span data-position="9"
id="658323000_7604621434_7604621444_label"
class="radio-button-display "
aria-label="9"> 9 </span>
</label></div>
</td>
<td class="nps-radio-button-container no-touch touch-sensitive nps-radio-button-last-child">
<div data-sm-radio-button="" class="radio-button-container "
aria-labelledby="question-title-658323000"><input
id="658323000_7604621434_7604621445"
aria-labelledby="658323000_7604621434_7604621445_label"
name="658323000_7604621434" type="radio" role="radio"
class="radio-button-input " value="7604621445" aria-checked="false">
<label data-sm-radio-button-label=""
class="answer-label radio-button-label no-touch touch-sensitive clearfix nps-answer-label"
for="658323000_7604621434_7604621445"> <span data-position="10"
id="658323000_7604621434_7604621445_label"
class="radio-button-display "
aria-label="10"> 10 </span>
</label></div>
</td>
</tr>
</tbody>
</table>
</div>
</div>
</div>
</div>
<button id="658323000-ok" class="new-button ok-button user-generated notranslate hide" type="submit"
style="display: none;"> OK
</button>
</div>
<div class="question-click-shield" tabindex="-1" style="height: 223px; width: 600px; display: none;"></div>
<div class="question-row clearfix overlay " tabindex="-1">
<div data-question-type="single_choice_vertical_two_col"
data-rq-question-type="single_choice_vertical_two_col" class="question-container ">
<div id="question-field-759667492" data-qnumber="2" data-qdispnumber="2" data-question-id="759667492"
class=" question-single-choice-radio qn question vertical_two_col"><h3 class="screenreader-only">
Question Title</h3>
<fieldset class=" question-fieldset" data-radio-button-group="">
<legend class="question-legend"><h4 id="question-title-759667492"
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 "> Overall, how satisfied or dissatisfied are you with our company?</span>
</h4></legend>
<div class="question-body clearfix notranslate ">
<div class="answer-option-col answer-option-col-2">
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container "
aria-labelledby="question-title-759667492"><input id="759667492_8610338698"
aria-labelledby="759667492_8610338698_label"
name="759667492" type="radio"
role="radio"
class="radio-button-input "
value="8610338698"
aria-checked="false"> <label
data-sm-radio-button-label="" id="759667492_8610338698_label"
class="answer-label radio-button-label no-touch touch-sensitive clearfix"
for="759667492_8610338698"> <span class="radio-button-display "> </span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Very satisfied </span>
</label></div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container "
aria-labelledby="question-title-759667492"><input id="759667492_8610338699"
aria-labelledby="759667492_8610338699_label"
name="759667492" type="radio"
role="radio"
class="radio-button-input "
value="8610338699"
aria-checked="false"> <label
data-sm-radio-button-label="" id="759667492_8610338699_label"
class="answer-label radio-button-label no-touch touch-sensitive clearfix"
for="759667492_8610338699"> <span class="radio-button-display "> </span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Somewhat satisfied </span>
</label></div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container "
aria-labelledby="question-title-759667492"><input id="759667492_8610338700"
aria-labelledby="759667492_8610338700_label"
name="759667492" type="radio"
role="radio"
class="radio-button-input "
value="8610338700"
aria-checked="false"> <label
data-sm-radio-button-label="" id="759667492_8610338700_label"
class="answer-label radio-button-label no-touch touch-sensitive clearfix"
for="759667492_8610338700"> <span class="radio-button-display "> </span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Neither satisfied nor dissatisfied </span>
</label></div>
</div>
</div>
<div class="answer-option-col answer-option-col-2">
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container "
aria-labelledby="question-title-759667492"><input id="759667492_8610338701"
aria-labelledby="759667492_8610338701_label"
name="759667492" type="radio"
role="radio"
class="radio-button-input "
value="8610338701"
aria-checked="false"> <label
data-sm-radio-button-label="" id="759667492_8610338701_label"
class="answer-label radio-button-label no-touch touch-sensitive clearfix"
for="759667492_8610338701"> <span class="radio-button-display "> </span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Somewhat dissatisfied </span>
</label></div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container "
aria-labelledby="question-title-759667492"><input id="759667492_8610338702"
aria-labelledby="759667492_8610338702_label"
name="759667492" type="radio"
role="radio"
class="radio-button-input "
value="8610338702"
aria-checked="false"> <label
data-sm-radio-button-label="" id="759667492_8610338702_label"
class="answer-label radio-button-label no-touch touch-sensitive clearfix"
for="759667492_8610338702"> <span class="radio-button-display "> </span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Very dissatisfied </span>
</label></div>
</div>
</div>
</div>
</fieldset>
</div>
</div>
<button id="759667492-ok" class="new-button ok-button user-generated notranslate hide" type="submit"
style="display: none;"> OK
</button>
</div>
<div class="question-click-shield" tabindex="-1" style="height: 317px; width: 600px; display: none;"></div>
<div class="question-row clearfix overlay " tabindex="-1">
<div data-question-type="multiple_choice_vertical_two_col"
data-rq-question-type="multiple_choice_vertical_two_col" class="question-container ">
<div id="question-field-759667602" data-qnumber="3" data-qdispnumber="3" data-question-id="759667602"
class=" question-multiple-choice qn question vertical_two_col"><h3 class="screenreader-only">
Question Title</h3>
<fieldset class=" question-fieldset">
<legend class="question-legend"><h4 id="question-title-759667602"
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 "> Which of the following words would you use to describe our products? Select all that apply.</span>
</h4></legend>
<div class="question-body clearfix notranslate ">
<div class="answer-option-col answer-option-col-2">
<div class="answer-option-cell ">
<div data-sm-checkbox="" class="checkbox-button-container "><input
id="759667602_8610339763" name="759667602[]" type="checkbox"
class="checkbox-button-input " value="8610339763"> <label
class="answer-label checkbox-button-label no-touch touch-sensitive clearfix"
for="759667602_8610339763"> <span class="checkbox-button-display "> </span>
<span class="checkbox-button-label-text question-body-font-theme user-generated "> Reliable </span>
</label></div>
</div>
<div class="answer-option-cell ">
<div data-sm-checkbox="" class="checkbox-button-container "><input
id="759667602_8610339764" name="759667602[]" type="checkbox"
class="checkbox-button-input " value="8610339764"> <label
class="answer-label checkbox-button-label no-touch touch-sensitive clearfix"
for="759667602_8610339764"> <span class="checkbox-button-display "> </span>
<span class="checkbox-button-label-text question-body-font-theme user-generated "> High quality </span>
</label></div>
</div>
<div class="answer-option-cell ">
<div data-sm-checkbox="" class="checkbox-button-container "><input
id="759667602_8610339765" name="759667602[]" type="checkbox"
class="checkbox-button-input " value="8610339765"> <label
class="answer-label checkbox-button-label no-touch touch-sensitive clearfix"
for="759667602_8610339765"> <span class="checkbox-button-display "> </span>
<span class="checkbox-button-label-text question-body-font-theme user-generated "> Useful </span>
</label></div>
</div>
<div class="answer-option-cell ">
<div data-sm-checkbox="" class="checkbox-button-container "><input
id="759667602_8610339766" name="759667602[]" type="checkbox"
class="checkbox-button-input " value="8610339766"> <label
class="answer-label checkbox-button-label no-touch touch-sensitive clearfix"
for="759667602_8610339766"> <span class="checkbox-button-display "> </span>
<span class="checkbox-button-label-text question-body-font-theme user-generated "> Unique </span>
</label></div>
</div>
<div class="answer-option-cell ">
<div data-sm-checkbox="" class="checkbox-button-container "><input
id="759667602_8610339767" name="759667602[]" type="checkbox"
class="checkbox-button-input " value="8610339767"> <label
class="answer-label checkbox-button-label no-touch touch-sensitive clearfix"
for="759667602_8610339767"> <span class="checkbox-button-display "> </span>
<span class="checkbox-button-label-text question-body-font-theme user-generated "> Good value for money </span>
</label></div>
</div>
</div>
<div class="answer-option-col answer-option-col-2">
<div class="answer-option-cell ">
<div data-sm-checkbox="" class="checkbox-button-container "><input
id="759667602_8610339768" name="759667602[]" type="checkbox"
class="checkbox-button-input " value="8610339768"> <label
class="answer-label checkbox-button-label no-touch touch-sensitive clearfix"
for="759667602_8610339768"> <span class="checkbox-button-display "> </span>
<span class="checkbox-button-label-text question-body-font-theme user-generated "> Overpriced </span>
</label></div>
</div>
<div class="answer-option-cell ">
<div data-sm-checkbox="" class="checkbox-button-container "><input
id="759667602_8610339769" name="759667602[]" type="checkbox"
class="checkbox-button-input " value="8610339769"> <label
class="answer-label checkbox-button-label no-touch touch-sensitive clearfix"
for="759667602_8610339769"> <span class="checkbox-button-display "> </span>
<span class="checkbox-button-label-text question-body-font-theme user-generated "> Impractical </span>
</label></div>
</div>
<div class="answer-option-cell ">
<div data-sm-checkbox="" class="checkbox-button-container "><input
id="759667602_8610339770" name="759667602[]" type="checkbox"
class="checkbox-button-input " value="8610339770"> <label
class="answer-label checkbox-button-label no-touch touch-sensitive clearfix"
for="759667602_8610339770"> <span class="checkbox-button-display "> </span>
<span class="checkbox-button-label-text question-body-font-theme user-generated "> Ineffective </span>
</label></div>
</div>
<div class="answer-option-cell ">
<div data-sm-checkbox="" class="checkbox-button-container "><input
id="759667602_8610339771" name="759667602[]" type="checkbox"
class="checkbox-button-input " value="8610339771"> <label
class="answer-label checkbox-button-label no-touch touch-sensitive clearfix"
for="759667602_8610339771"> <span class="checkbox-button-display "> </span>
<span class="checkbox-button-label-text question-body-font-theme user-generated "> Poor quality </span>
</label></div>
</div>
<div class="answer-option-cell ">
<div data-sm-checkbox="" class="checkbox-button-container "><input
id="759667602_8610339772" name="759667602[]" type="checkbox"
class="checkbox-button-input " value="8610339772"> <label
class="answer-label checkbox-button-label no-touch touch-sensitive clearfix"
for="759667602_8610339772"> <span class="checkbox-button-display "> </span>
<span class="checkbox-button-label-text question-body-font-theme user-generated "> Unreliable </span>
</label></div>
</div>
</div>
</div>
</fieldset>
</div>
</div>
<button id="759667602-ok" class="new-button ok-button user-generated notranslate hide" type="submit"
style="display: none;"> OK
</button>
</div>
<div class="question-click-shield" tabindex="-1" style="height: 196px; width: 600px; display: none;"></div>
<div class="question-row clearfix overlay " tabindex="-1">
<div data-question-type="single_choice_vertical_two_col"
data-rq-question-type="single_choice_vertical_two_col" class="question-container ">
<div id="question-field-759667790" data-qnumber="4" data-qdispnumber="4" data-question-id="759667790"
class=" question-single-choice-radio qn question vertical_two_col"><h3 class="screenreader-only">
Question Title</h3>
<fieldset class=" question-fieldset" data-radio-button-group="">
<legend class="question-legend"><h4 id="question-title-759667790"
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 "> How well do our products meet your needs?</span>
</h4></legend>
<div class="question-body clearfix notranslate ">
<div class="answer-option-col answer-option-col-2">
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container "
aria-labelledby="question-title-759667790"><input id="759667790_8610341318"
aria-labelledby="759667790_8610341318_label"
name="759667790" type="radio"
role="radio"
class="radio-button-input "
value="8610341318"
aria-checked="false"> <label
data-sm-radio-button-label="" id="759667790_8610341318_label"
class="answer-label radio-button-label no-touch touch-sensitive clearfix"
for="759667790_8610341318"> <span class="radio-button-display "> </span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Extremely well </span>
</label></div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container "
aria-labelledby="question-title-759667790"><input id="759667790_8610341319"
aria-labelledby="759667790_8610341319_label"
name="759667790" type="radio"
role="radio"
class="radio-button-input "
value="8610341319"
aria-checked="false"> <label
data-sm-radio-button-label="" id="759667790_8610341319_label"
class="answer-label radio-button-label no-touch touch-sensitive clearfix"
for="759667790_8610341319"> <span class="radio-button-display "> </span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Very well </span>
</label></div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container "
aria-labelledby="question-title-759667790"><input id="759667790_8610341320"
aria-labelledby="759667790_8610341320_label"
name="759667790" type="radio"
role="radio"
class="radio-button-input "
value="8610341320"
aria-checked="false"> <label
data-sm-radio-button-label="" id="759667790_8610341320_label"
class="answer-label radio-button-label no-touch touch-sensitive clearfix"
for="759667790_8610341320"> <span class="radio-button-display "> </span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Somewhat well </span>
</label></div>
</div>
</div>
<div class="answer-option-col answer-option-col-2">
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container "
aria-labelledby="question-title-759667790"><input id="759667790_8610341321"
aria-labelledby="759667790_8610341321_label"
name="759667790" type="radio"
role="radio"
class="radio-button-input "
value="8610341321"
aria-checked="false"> <label
data-sm-radio-button-label="" id="759667790_8610341321_label"
class="answer-label radio-button-label no-touch touch-sensitive clearfix"
for="759667790_8610341321"> <span class="radio-button-display "> </span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Not so well </span>
</label></div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container "
aria-labelledby="question-title-759667790"><input id="759667790_8610341322"
aria-labelledby="759667790_8610341322_label"
name="759667790" type="radio"
role="radio"
class="radio-button-input "
value="8610341322"
aria-checked="false"> <label
data-sm-radio-button-label="" id="759667790_8610341322_label"
class="answer-label radio-button-label no-touch touch-sensitive clearfix"
for="759667790_8610341322"> <span class="radio-button-display "> </span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Not at all well </span>
</label></div>
</div>
</div>
</div>
</fieldset>
</div>
</div>
<button id="759667790-ok" class="new-button ok-button user-generated notranslate hide" type="submit"
style="display: none;"> OK
</button>
</div>
<div class="question-click-shield" tabindex="-1" style="height: 196px; width: 600px; display: none;"></div>
<div class="question-row clearfix overlay " tabindex="-1">
<div data-question-type="single_choice_vertical_two_col"
data-rq-question-type="single_choice_vertical_two_col" class="question-container ">
<div id="question-field-869482570" data-qnumber="5" data-qdispnumber="5" data-question-id="869482570"
class=" question-single-choice-radio qn question vertical_two_col"><h3 class="screenreader-only">
Question Title</h3>
<fieldset class=" question-fieldset" data-radio-button-group="">
<legend class="question-legend"><h4 id="question-title-869482570"
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 "> How would you rate the quality of the product?</span>
</h4></legend>
<div class="question-body clearfix notranslate ">
<div class="answer-option-col answer-option-col-2">
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container "
aria-labelledby="question-title-869482570"><input id="869482570_9547476861"
aria-labelledby="869482570_9547476861_label"
name="869482570" type="radio"
role="radio"
class="radio-button-input "
value="9547476861"
aria-checked="false"> <label
data-sm-radio-button-label="" id="869482570_9547476861_label"
class="answer-label radio-button-label no-touch touch-sensitive clearfix"
for="869482570_9547476861"> <span class="radio-button-display "> </span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Very high quality </span>
</label></div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container "
aria-labelledby="question-title-869482570"><input id="869482570_9547476862"
aria-labelledby="869482570_9547476862_label"
name="869482570" type="radio"
role="radio"
class="radio-button-input "
value="9547476862"
aria-checked="false"> <label
data-sm-radio-button-label="" id="869482570_9547476862_label"
class="answer-label radio-button-label no-touch touch-sensitive clearfix"
for="869482570_9547476862"> <span class="radio-button-display "> </span>
<span class="radio-button-label-text question-body-font-theme user-generated "> High quality </span>
</label></div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container "
aria-labelledby="question-title-869482570"><input id="869482570_9547476863"
aria-labelledby="869482570_9547476863_label"
name="869482570" type="radio"
role="radio"
class="radio-button-input "
value="9547476863"
aria-checked="false"> <label
data-sm-radio-button-label="" id="869482570_9547476863_label"
class="answer-label radio-button-label no-touch touch-sensitive clearfix"
for="869482570_9547476863"> <span class="radio-button-display "> </span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Neither high nor low quality </span>
</label></div>
</div>
</div>
<div class="answer-option-col answer-option-col-2">
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container "
aria-labelledby="question-title-869482570"><input id="869482570_9547476864"
aria-labelledby="869482570_9547476864_label"
name="869482570" type="radio"
role="radio"
class="radio-button-input "
value="9547476864"
aria-checked="false"> <label
data-sm-radio-button-label="" id="869482570_9547476864_label"
class="answer-label radio-button-label no-touch touch-sensitive clearfix"
for="869482570_9547476864"> <span class="radio-button-display "> </span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Low quality </span>
</label></div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container "
aria-labelledby="question-title-869482570"><input id="869482570_9547476865"
aria-labelledby="869482570_9547476865_label"
name="869482570" type="radio"
role="radio"
class="radio-button-input "
value="9547476865"
aria-checked="false"> <label
data-sm-radio-button-label="" id="869482570_9547476865_label"
class="answer-label radio-button-label no-touch touch-sensitive clearfix"
for="869482570_9547476865"> <span class="radio-button-display "> </span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Very low quality </span>
</label></div>
</div>
</div>
</div>
</fieldset>
</div>
</div>
<button id="869482570-ok" class="new-button ok-button user-generated notranslate hide" type="submit"
style="display: none;"> OK
</button>
</div>
<div class="question-click-shield" tabindex="-1" style="height: 196px; width: 600px; display: none;"></div>
<div class="question-row clearfix overlay " tabindex="-1">
<div data-question-type="single_choice_vertical_two_col"
data-rq-question-type="single_choice_vertical_two_col" class="question-container ">
<div id="question-field-869505849" data-qnumber="6" data-qdispnumber="6" data-question-id="869505849"
class=" question-single-choice-radio qn question vertical_two_col"><h3 class="screenreader-only">
Question Title</h3>
<fieldset class=" question-fieldset" data-radio-button-group="">
<legend class="question-legend"><h4 id="question-title-869505849"
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 "> How would you rate the value for money of the product?</span>
</h4></legend>
<div class="question-body clearfix notranslate ">
<div class="answer-option-col answer-option-col-2">
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container "
aria-labelledby="question-title-869505849"><input id="869505849_9547667210"
aria-labelledby="869505849_9547667210_label"
name="869505849" type="radio"
role="radio"
class="radio-button-input "
value="9547667210"
aria-checked="false"> <label
data-sm-radio-button-label="" id="869505849_9547667210_label"
class="answer-label radio-button-label no-touch touch-sensitive clearfix"
for="869505849_9547667210"> <span class="radio-button-display "> </span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Excellent </span>
</label></div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container "
aria-labelledby="question-title-869505849"><input id="869505849_9547667211"
aria-labelledby="869505849_9547667211_label"
name="869505849" type="radio"
role="radio"
class="radio-button-input "
value="9547667211"
aria-checked="false"> <label
data-sm-radio-button-label="" id="869505849_9547667211_label"
class="answer-label radio-button-label no-touch touch-sensitive clearfix"
for="869505849_9547667211"> <span class="radio-button-display "> </span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Above average </span>
</label></div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container "
aria-labelledby="question-title-869505849"><input id="869505849_9547667212"
aria-labelledby="869505849_9547667212_label"
name="869505849" type="radio"
role="radio"
class="radio-button-input "
value="9547667212"
aria-checked="false"> <label
data-sm-radio-button-label="" id="869505849_9547667212_label"
class="answer-label radio-button-label no-touch touch-sensitive clearfix"
for="869505849_9547667212"> <span class="radio-button-display "> </span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Average </span>
</label></div>
</div>
</div>
<div class="answer-option-col answer-option-col-2">
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container "
aria-labelledby="question-title-869505849"><input id="869505849_9547667213"
aria-labelledby="869505849_9547667213_label"
name="869505849" type="radio"
role="radio"
class="radio-button-input "
value="9547667213"
aria-checked="false"> <label
data-sm-radio-button-label="" id="869505849_9547667213_label"
class="answer-label radio-button-label no-touch touch-sensitive clearfix"
for="869505849_9547667213"> <span class="radio-button-display "> </span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Below average </span>
</label></div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container "
aria-labelledby="question-title-869505849"><input id="869505849_9547667214"
aria-labelledby="869505849_9547667214_label"
name="869505849" type="radio"
role="radio"
class="radio-button-input "
value="9547667214"
aria-checked="false"> <label
data-sm-radio-button-label="" id="869505849_9547667214_label"
class="answer-label radio-button-label no-touch touch-sensitive clearfix"
for="869505849_9547667214"> <span class="radio-button-display "> </span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Poor </span>
</label></div>
</div>
</div>
</div>
</fieldset>
</div>
</div>
<button id="869505849-ok" class="new-button ok-button user-generated notranslate hide" type="submit"
style="display: none;"> OK
</button>
</div>
<div class="question-click-shield" tabindex="-1" style="height: 221px; width: 600px; display: none;"></div>
<div class="question-row clearfix overlay " tabindex="-1">
<div data-question-type="single_choice_vertical_two_col"
data-rq-question-type="single_choice_vertical_two_col" class="question-container ">
<div id="question-field-869473318" data-qnumber="7" data-qdispnumber="7" data-question-id="869473318"
class=" question-single-choice-radio qn question vertical_two_col"><h3 class="screenreader-only">
Question Title</h3>
<fieldset class=" question-fieldset" data-radio-button-group="">
<legend class="question-legend"><h4 id="question-title-869473318"
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 "> How responsive have we been to your questions or concerns about our products?</span>
</h4></legend>
<div class="question-body clearfix notranslate ">
<div class="answer-option-col answer-option-col-2">
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container "
aria-labelledby="question-title-869473318"><input id="869473318_9547402215"
aria-labelledby="869473318_9547402215_label"
name="869473318" type="radio"
role="radio"
class="radio-button-input "
value="9547402215"
aria-checked="false"> <label
data-sm-radio-button-label="" id="869473318_9547402215_label"
class="answer-label radio-button-label no-touch touch-sensitive clearfix"
for="869473318_9547402215"> <span class="radio-button-display "> </span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Extremely responsive </span>
</label></div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container "
aria-labelledby="question-title-869473318"><input id="869473318_9547402216"
aria-labelledby="869473318_9547402216_label"
name="869473318" type="radio"
role="radio"
class="radio-button-input "
value="9547402216"
aria-checked="false"> <label
data-sm-radio-button-label="" id="869473318_9547402216_label"
class="answer-label radio-button-label no-touch touch-sensitive clearfix"
for="869473318_9547402216"> <span class="radio-button-display "> </span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Very responsive </span>
</label></div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container "
aria-labelledby="question-title-869473318"><input id="869473318_9547402217"
aria-labelledby="869473318_9547402217_label"
name="869473318" type="radio"
role="radio"
class="radio-button-input "
value="9547402217"
aria-checked="false"> <label
data-sm-radio-button-label="" id="869473318_9547402217_label"
class="answer-label radio-button-label no-touch touch-sensitive clearfix"
for="869473318_9547402217"> <span class="radio-button-display "> </span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Somewhat responsive </span>
</label></div>
</div>
</div>
<div class="answer-option-col answer-option-col-2">
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container "
aria-labelledby="question-title-869473318"><input id="869473318_9547402218"
aria-labelledby="869473318_9547402218_label"
name="869473318" type="radio"
role="radio"
class="radio-button-input "
value="9547402218"
aria-checked="false"> <label
data-sm-radio-button-label="" id="869473318_9547402218_label"
class="answer-label radio-button-label no-touch touch-sensitive clearfix"
for="869473318_9547402218"> <span class="radio-button-display "> </span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Not so responsive </span>
</label></div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container "
aria-labelledby="question-title-869473318"><input id="869473318_9547402219"
aria-labelledby="869473318_9547402219_label"
name="869473318" type="radio"
role="radio"
class="radio-button-input "
value="9547402219"
aria-checked="false"> <label
data-sm-radio-button-label="" id="869473318_9547402219_label"
class="answer-label radio-button-label no-touch touch-sensitive clearfix"
for="869473318_9547402219"> <span class="radio-button-display "> </span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Not at all responsive </span>
</label></div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container "
aria-labelledby="question-title-869473318"><input id="869473318_9547402220"
aria-labelledby="869473318_9547402220_label"
name="869473318" type="radio"
role="radio"
class="radio-button-input "
value="9547402220"
aria-checked="false"> <label
data-sm-radio-button-label="" id="869473318_9547402220_label"
class="answer-label radio-button-label no-touch touch-sensitive clearfix"
for="869473318_9547402220"> <span class="radio-button-display "> </span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Not applicable </span>
</label></div>
</div>
</div>
</div>
</fieldset>
</div>
</div>
<button id="869473318-ok" class="new-button ok-button user-generated notranslate hide" type="submit"
style="display: none;"> OK
</button>
</div>
<div class="question-click-shield" tabindex="-1" style="height: 196px; width: 600px; display: none;"></div>
<div class="question-row clearfix overlay " tabindex="-1">
<div data-question-type="single_choice_vertical_two_col"
data-rq-question-type="single_choice_vertical_two_col" class="question-container ">
<div id="question-field-759700076" data-qnumber="8" data-qdispnumber="8" data-question-id="759700076"
class=" question-single-choice-radio qn question vertical_two_col"><h3 class="screenreader-only">
Question Title</h3>
<fieldset class=" question-fieldset" data-radio-button-group="">
<legend class="question-legend"><h4 id="question-title-759700076"
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 "> How long have you been a customer of our company?</span>
</h4></legend>
<div class="question-body clearfix notranslate ">
<div class="answer-option-col answer-option-col-2">
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container "
aria-labelledby="question-title-759700076"><input id="759700076_8610659704"
aria-labelledby="759700076_8610659704_label"
name="759700076" type="radio"
role="radio"
class="radio-button-input "
value="8610659704"
aria-checked="false"> <label
data-sm-radio-button-label="" id="759700076_8610659704_label"
class="answer-label radio-button-label no-touch touch-sensitive clearfix"
for="759700076_8610659704"> <span class="radio-button-display "> </span>
<span class="radio-button-label-text question-body-font-theme user-generated "> This is my first purchase </span>
</label></div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container "
aria-labelledby="question-title-759700076"><input id="759700076_8610659705"
aria-labelledby="759700076_8610659705_label"
name="759700076" type="radio"
role="radio"
class="radio-button-input "
value="8610659705"
aria-checked="false"> <label
data-sm-radio-button-label="" id="759700076_8610659705_label"
class="answer-label radio-button-label no-touch touch-sensitive clearfix"
for="759700076_8610659705"> <span class="radio-button-display "> </span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Less than six months </span>
</label></div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container "
aria-labelledby="question-title-759700076"><input id="759700076_8610659706"
aria-labelledby="759700076_8610659706_label"
name="759700076" type="radio"
role="radio"
class="radio-button-input "
value="8610659706"
aria-checked="false"> <label
data-sm-radio-button-label="" id="759700076_8610659706_label"
class="answer-label radio-button-label no-touch touch-sensitive clearfix"
for="759700076_8610659706"> <span class="radio-button-display "> </span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Six months to a year </span>
</label></div>
</div>
</div>
<div class="answer-option-col answer-option-col-2">
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container "
aria-labelledby="question-title-759700076"><input id="759700076_8610659707"
aria-labelledby="759700076_8610659707_label"
name="759700076" type="radio"
role="radio"
class="radio-button-input "
value="8610659707"
aria-checked="false"> <label
data-sm-radio-button-label="" id="759700076_8610659707_label"
class="answer-label radio-button-label no-touch touch-sensitive clearfix"
for="759700076_8610659707"> <span class="radio-button-display "> </span>
<span class="radio-button-label-text question-body-font-theme user-generated "> 1 - 2 years </span>
</label></div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container "
aria-labelledby="question-title-759700076"><input id="759700076_8610659708"
aria-labelledby="759700076_8610659708_label"
name="759700076" type="radio"
role="radio"
class="radio-button-input "
value="8610659708"
aria-checked="false"> <label
data-sm-radio-button-label="" id="759700076_8610659708_label"
class="answer-label radio-button-label no-touch touch-sensitive clearfix"
for="759700076_8610659708"> <span class="radio-button-display "> </span>
<span class="radio-button-label-text question-body-font-theme user-generated "> 3 or more years </span>
</label></div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container "
aria-labelledby="question-title-759700076"><input id="759700076_8610659709"
aria-labelledby="759700076_8610659709_label"
name="759700076" type="radio"
role="radio"
class="radio-button-input "
value="8610659709"
aria-checked="false"> <label
data-sm-radio-button-label="" id="759700076_8610659709_label"
class="answer-label radio-button-label no-touch touch-sensitive clearfix"
for="759700076_8610659709"> <span class="radio-button-display "> </span>
<span class="radio-button-label-text question-body-font-theme user-generated "> I haven't made a purchase yet </span>
</label></div>
</div>
</div>
</div>
</fieldset>
</div>
</div>
<button id="759700076-ok" class="new-button ok-button user-generated notranslate hide" type="submit"
style="display: none;"> OK
</button>
</div>
<div class="question-click-shield" tabindex="-1" style="height: 196px; width: 600px; display: none;"></div>
<div class="question-row clearfix overlay " tabindex="-1">
<div data-question-type="single_choice_vertical_two_col"
data-rq-question-type="single_choice_vertical_two_col" class="question-container ">
<div id="question-field-759668241" data-qnumber="9" data-qdispnumber="9" data-question-id="759668241"
class=" question-single-choice-radio qn question vertical_two_col"><h3 class="screenreader-only">
Question Title</h3>
<fieldset class=" question-fieldset" data-radio-button-group="">
<legend class="question-legend"><h4 id="question-title-759668241"
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 "> How likely are you to purchase any of our products again?</span>
</h4></legend>
<div class="question-body clearfix notranslate ">
<div class="answer-option-col answer-option-col-2">
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container "
aria-labelledby="question-title-759668241"><input id="759668241_8610345318"
aria-labelledby="759668241_8610345318_label"
name="759668241" type="radio"
role="radio"
class="radio-button-input "
value="8610345318"
aria-checked="false"> <label
data-sm-radio-button-label="" id="759668241_8610345318_label"
class="answer-label radio-button-label no-touch touch-sensitive clearfix"
for="759668241_8610345318"> <span class="radio-button-display "> </span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Extremely likely </span>
</label></div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container "
aria-labelledby="question-title-759668241"><input id="759668241_8610345319"
aria-labelledby="759668241_8610345319_label"
name="759668241" type="radio"
role="radio"
class="radio-button-input "
value="8610345319"
aria-checked="false"> <label
data-sm-radio-button-label="" id="759668241_8610345319_label"
class="answer-label radio-button-label no-touch touch-sensitive clearfix"
for="759668241_8610345319"> <span class="radio-button-display "> </span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Very likely </span>
</label></div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container "
aria-labelledby="question-title-759668241"><input id="759668241_8610345320"
aria-labelledby="759668241_8610345320_label"
name="759668241" type="radio"
role="radio"
class="radio-button-input "
value="8610345320"
aria-checked="false"> <label
data-sm-radio-button-label="" id="759668241_8610345320_label"
class="answer-label radio-button-label no-touch touch-sensitive clearfix"
for="759668241_8610345320"> <span class="radio-button-display "> </span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Somewhat likely </span>
</label></div>
</div>
</div>
<div class="answer-option-col answer-option-col-2">
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container "
aria-labelledby="question-title-759668241"><input id="759668241_8610345321"
aria-labelledby="759668241_8610345321_label"
name="759668241" type="radio"
role="radio"
class="radio-button-input "
value="8610345321"
aria-checked="false"> <label
data-sm-radio-button-label="" id="759668241_8610345321_label"
class="answer-label radio-button-label no-touch touch-sensitive clearfix"
for="759668241_8610345321"> <span class="radio-button-display "> </span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Not so likely </span>
</label></div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container "
aria-labelledby="question-title-759668241"><input id="759668241_8610345322"
aria-labelledby="759668241_8610345322_label"
name="759668241" type="radio"
role="radio"
class="radio-button-input "
value="8610345322"
aria-checked="false"> <label
data-sm-radio-button-label="" id="759668241_8610345322_label"
class="answer-label radio-button-label no-touch touch-sensitive clearfix"
for="759668241_8610345322"> <span class="radio-button-display "> </span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Not at all likely </span>
</label></div>
</div>
</div>
</div>
</fieldset>
</div>
</div>
<button id="759668241-ok" class="new-button ok-button user-generated notranslate hide" type="submit"
style="display: none;"> OK
</button>
</div>
<div class="question-click-shield" tabindex="-1" style="height: 123px; width: 600px; display: none;"></div>
<div class="question-row clearfix overlay " tabindex="-1">
<div data-question-type="open_ended_essay" data-rq-question-type="open_ended" class="question-container ">
<div id="question-field-759668409" data-qnumber="10" data-qdispnumber="10" data-question-id="759668409"
class=" question-essay qn question essay"><h3 class="screenreader-only">Question Title</h3>
<div class=" question-fieldset question-legend"><h4 id="question-title-759668409"
class=" question-title-container "><span
class="required-asterisk notranslate"> * </span> <span class="question-number notranslate"> 10<span
class="question-dot">.</span> </span> <span class="user-generated notranslate "> Do you have any other comments, questions, or concerns?</span>
</h4>
<div class="question-body clearfix notranslate ">
<div class="textarea-container"><textarea aria-labelledby="question-title-759668409"
id="759668409" name="759668409" class="textarea"
spellcheck="true" rows="3" cols="50"
data-sm-textarea="" maxlength="20000"></textarea>
</div>
</div>
</div>
</div>
</div>
<button id="759668409-ok" class="new-button ok-button user-generated notranslate hide" type="submit"
style="display: none;"> OK
</button>
</div>
</div>
<div class="survey-submit-actions center-text clearfix" style="margin-top: 220.953px;">
<button type="submit" data-submit-page-button=""
class="btn small done-button survey-page-button user-generated notranslate"> DONE
</button>
</div>
<input type="hidden" id="survey_data" name="survey_data"
value="4FoTYerhlqpl9PSGmuD5Id9n_2BjLupkRsBl6Z9roZxUI_2FI4TVodT4u1XhbeaLmDotKrqjwBrErXIVloycDYlQ63hCUpQX_2BLSSGGP0jsSdlA_2BqcWvTS9NjoXuWFzatnvUTqxiOEi_2BWnq_2FOF8rzQrhgqImXQuEh6c5r4h_2Fb4Qy_2FSw5HYci52w1lbr0cP6BI58EnkooFE5Vgkl_2BZeN0M_2B0VDN3pNZR2kyBh_2F8zKwNTiqqVsrHize02R93k_2FECi0F1dhL4QezUitUItNAo68QV5Vib8b6JmaDVfJIbphf_2FL55v5GXchbFhLnWeA4KvNL1Sdf9YESpa8b1oWmCauLr_2F_2BjYchyT4pCMRAa28seGc_2B4ii8KWo5cy3ufT4_2B5u44n0FBaPH4nVECRKK_2FpUKBtV_2BdO3GQviJM473ZN7I8SgGiWdEF_2FWe4X1vvY_2BxlNK557vUtrTL1XPWhEyYQHlRxhOGMAe6p9WoB2F9yC31YWcfAUxEYg7PKe3ixDbG_2F2CVZ_2B57huMz_2BRGSIXQaeMDxr8lR4qlsQ_3D_3D">
<input type="hidden" data-response-quality="" id="response_quality_data" name="response_quality_data" value="{}">
<input type="hidden" id="is_previous" name="is_previous" value="false"> <input type="hidden" id="is_changing_format"
name="is_changing_format" value="">
<input type="hidden" id="survey_format_value" name="survey_format_value" value="CLASSIC"> <input type="hidden"
id="disable_survey_buttons_on_submit"
name="disable_survey_buttons_on_submit"
value=""></form>
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