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Verint Digital Experience - Comment Card
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} </style> <!--[if lt IE 9]> <style> select { height: 26px; } </style> <![endif]--> <div id="headerText">We'd love your feedback.</div> <div id="introText">Your feedback will help us improve your experience. To protect your privacy, please do not enter personal or account information.</div><div id="no_cdu"> <div class="section" id="overall"> <div class="cdu_radios"> <div class="section"> <fieldset id="rater_buttons" class="nps"> <legend>Please rate your overall experience on our site.<span class="req_question">*</span><span class="screen_reader">Required</span></legend> <div><input id="overall_0" name="overall" type="radio" value="1" tabindex="0" aria-describedby="o1-l"><label for="overall_0">- -</label><span class="screen_reader" id="o1-l">Very Dissatisfied</span></div> <div><input id="overall_1" name="overall" type="radio" value="2" tabindex="0" aria-describedby="o2-l"><label for="overall_1">-</label><span class="screen_reader" id="o2-l">Dissatisfied</span></div> <div><input id="overall_2" name="overall" type="radio" value="3" tabindex="0" aria-describedby="o3-l"><label for="overall_2">+ -</label><span class="screen_reader" id="o3-l">Neutral</span></div> <div><input id="overall_3" name="overall" type="radio" value="4" tabindex="0" aria-describedby="o4-l"><label for="overall_3">+</label><span class="screen_reader" id="o4-l">Satisfied</span></div> <div><input id="overall_4" name="overall" type="radio" value="5" tabindex="0" aria-describedby="o5-l"><label for="overall_4">+ +</label><span class="screen_reader" id="o5-l">Very Satisfied</span></div> </fieldset> <div class="clear"></div> </div> </div> <div class="clear"></div> </div> <div id="comments"> <div class="section topic_selector"> </div> <div class="section"><label class="screen_reader" for="comment_box">How can we improve our site? Please share your suggestions.</label><textarea data-max-length="1000" name="comments" id="comment_box" aria-describedby="charCount" tabindex="0" class="" placeholder="How can we improve our site? Please share your suggestions."></textarea><div id="comment_limit"> <div class="counter_label" id="charCount" tabindex="-1"></div> </div> </div> </div> <div class="section" id="customer_service_links"> </div> </div> <div class="clear"></div> <div id="custom_questions"> <div class="q_container"> <div class="section"> <h3 class="heading">Optional Questions</h3> </div> <div id="untransformed"><script language="javascript" type="text/javascript"> quesNum++; </script><input name="question1" type="hidden" value="4426535"><table border="0" cellpadding="0" cellspacing="0" width="100%"> <tbody><tr> <td class="bevel"><span class="answerSpan anSpan4426535"><select name="answer_4426535" id="answer_4426535" onchange="dropdown_other_v2(this.length,this.name,this.value,"Provide brief description")"><option value="0">Please select the main reason for your visit today:</option><option value="View or pay a bill">View or pay a bill</option><option value="Contact customer service">Contact customer service</option><option value="Research or buy products/services">Research or buy products/services</option><option value="Get help or support">Get help or support</option><option value="View or change my current plan">View or change my current plan</option><option value="Manage my account or profile">Manage my account or profile</option><option value="View usage">View usage</option><option value="Other">Other (please specify)</option></select><br><input name="answer_4426535" id="answer_4426535_oth" type="text" onclick="if(!clicked)oth_reset(this.name);;" style="visibility:hidden" value=""></span><span id="qid_4426535" class="questionSpan qSpan4426535"></span></td> </tr> </tbody></table> </div> </div> </div><div id="footerText">We can't respond directly to survey comments. 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