health-kick.com
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2606:4700:3037::6815:32e
Public Scan
Submitted URL: https://health-kick.com/perks/17
Effective URL: https://health-kick.com/login
Submission: On November 29 via api from US — Scanned from DE
Effective URL: https://health-kick.com/login
Submission: On November 29 via api from US — Scanned from DE
Form analysis
3 forms found in the DOMPOST /login
<form action="/login" accept-charset="UTF-8" method="post"><input name="utf8" type="hidden" value="✓"><input type="hidden" name="authenticity_token" value="aAW9dt+/7MiV3ukrdFau3xP3jl9HacmSq8N0MyHodGgqBYFEXynk1qzsSY1RecH/T15rhqSeUhBuFrtrw/Fdyg==">
<div class="form-holder">
<div class="form-row">
<div class="col-12 form-group">
<label for="session_email">Email</label>
<input class="form-control" type="text" name="session[email]" id="session_email">
</div>
</div>
<div class="form-row">
<div class="col-12 form-group">
<label for="session_password">Password</label>
<input class="form-control" type="password" name="session[password]" id="session_password">
<a href="/password_resets/new">(forgot password)</a>
</div>
</div>
<div class="form-row">
<div class="col-12 form-group">
<input type="submit" name="commit" value="Log in" class="btn btn-primary" data-disable-with="Log in">
</div>
</div>
<div class="form-row">
<div class="col-12 form-group">
<script src="https://www.google.com/recaptcha/api.js" async="" defer=""></script>
<div data-sitekey="6LdxCDcUAAAAADfVxCfzcW4WOmzhiN5NkOzwK6XP" class="g-recaptcha ">
<div style="width: 304px; height: 78px;">
<div><iframe title="reCAPTCHA" width="304" height="78" role="presentation" name="a-gr0tv79kk2su" frameborder="0" scrolling="no"
sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox allow-storage-access-by-user-activation"
src="https://www.google.com/recaptcha/api2/anchor?ar=1&k=6LdxCDcUAAAAADfVxCfzcW4WOmzhiN5NkOzwK6XP&co=aHR0cHM6Ly9oZWFsdGgta2ljay5jb206NDQz&hl=de&v=-QbJqHfGOUB8nuVRLvzFLVed&size=normal&cb=695vl4f39avk"></iframe>
</div><textarea id="g-recaptcha-response" name="g-recaptcha-response" class="g-recaptcha-response"
style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
</div><iframe style="display: none;"></iframe>
</div>
<noscript>
<div>
<div style="width: 302px; height: 422px; position: relative;">
<div style="width: 302px; height: 422px; position: absolute;">
<iframe src="https://www.google.com/recaptcha/api/fallback?k=6LdxCDcUAAAAADfVxCfzcW4WOmzhiN5NkOzwK6XP" frameborder="0" scrolling="no" style="width: 302px; height:422px; border-style: none;"> title="ReCAPTCHA" </iframe>
</div>
</div>
<div style="width: 300px; height: 60px; border-style: none;
bottom: 12px; left: 25px; margin: 0px; padding: 0px; right: 25px;
background: #f9f9f9; border: 1px solid #c1c1c1; border-radius: 3px;">
<textarea id="g-recaptcha-response" name="g-recaptcha-response" class="g-recaptcha-response" style="width: 250px; height: 40px; border: 1px solid #c1c1c1;
margin: 10px 25px; padding: 0px; resize: none;" value=""> </textarea>
</div>
</div>
</noscript>
</div>
</div>
</div>
</form>
POST /mailchimp
<form action="/mailchimp" accept-charset="UTF-8" method="post"><input name="utf8" type="hidden" value="✓"><input type="hidden" name="authenticity_token" value="aAW9dt+/7MiV3ukrdFau3xP3jl9HacmSq8N0MyHodGgqBYFEXynk1qzsSY1RecH/T15rhqSeUhBuFrtrw/Fdyg==">
<label for="email">Email address</label>
<input type="text" name="email_address" id="email-address" class="form-control">
<button name="button" type="submit" class="btn-send" id="subscribe-button">
<span class="icon-arrow2"></span>
</button>
</form>
POST /request_demo
<form class="new_message" id="new_message" action="/request_demo" accept-charset="UTF-8" method="post"><input name="utf8" type="hidden" value="✓"><input type="hidden" name="authenticity_token"
value="aAW9dt+/7MiV3ukrdFau3xP3jl9HacmSq8N0MyHodGgqBYFEXynk1qzsSY1RecH/T15rhqSeUhBuFrtrw/Fdyg==">
<div class="form-holder">
<div class="form-row">
<div class="col-12 col-lg-6 form-group">
<label for="message_first_name">First name</label>
<input class="form-control" type="text" name="message[first_name]" id="message_first_name">
<span class="error-msg">Please fill out the correct format. </span>
</div>
<div class="col-12 col-lg-6 form-group">
<label for="message_last_name">Last name</label>
<input class="form-control" type="text" name="message[last_name]" id="message_last_name">
<span class="error-msg">Please fill out the correct format. </span>
</div>
</div>
<div class="form-row">
<div class="col-12 form-group">
<label for="message_company">Company</label>
<input class="form-control" type="text" name="message[company]" id="message_company">
<span class="error-msg">Please fill out the correct format. </span>
</div>
</div>
<div class="form-row">
<div class="col-12 form-group">
<label for="message_email">Email</label>
<input class="form-control" type="text" name="message[email]" id="message_email">
<span class="error-msg">Please fill out the correct format. </span>
</div>
</div>
<div class="form-row">
<div class="col-12 form-group">
<label for="message_Phone Number">Phone number</label>
<input class="form-control" type="text" name="message[phonenumber]" id="message_phonenumber">
<span class="error-msg">Please fill out the correct format. </span>
</div>
</div>
<div class="form-row">
<div class="col-12 form-group">
<label for="message_Please leave your message">Please leave your message</label>
<textarea class="form-control" name="message[additional_info]" id="message_additional_info"></textarea>
<span class="error-msg">Please fill out the correct format. </span>
</div>
</div>
<div class="form-row">
<div class="col-12 form-group">
<input type="submit" name="commit" value="REQUEST A DEMO" class="btn btn-primary btn-request" data-disable-with="REQUEST A DEMO">
</div>
</div>
</div>
<div class="thanks-message d-none">
<p class="lead text-white">"Your request has been received. Thanks!".</p>
</div>
</form>
Text Content
) Login * SERVICES CONCIERGE * ABOUT US PRESS * TESTIMONIALS * PARTNERSHIPS * EVENTS * RESOURCES Login REQUEST A DEMO Please log in. Log in Email Password (forgot password) title="ReCAPTCHA" -------------------------------------------------------------------------------- Does your company already offer HealthKick as a benefit? Request An Account Not a member? Request a Demo * * * * * WORK WITH US * PRIVACY POLICY * TERMS & CONDITIONS JOIN OUR EMAIL LIST Email address Copyright Healthkick ®2023 All Rights Reserved Back REQUEST A DEMO First name Please fill out the correct format. Last name Please fill out the correct format. Company Please fill out the correct format. Email Please fill out the correct format. Phone number Please fill out the correct format. Please leave your message Please fill out the correct format. "Your request has been received. Thanks!". To improve your experience on our site, we use cookies to remember log-in details and provide secure log-in, collect statistics to optimize site functionality and deliver content tailored to your interests. OK MORE INFO