lumineer.mdoutlook.com Open in urlscan Pro
2606:4700:3034::6815:2e49  Public Scan

Form analysis
1 forms found in the DOM

Name: form1 — POST ./OptOutSurvey.aspx?IdPhysician=493162&isg=y&IdML=10632246

<form name="form1" method="post" action="./OptOutSurvey.aspx?IdPhysician=493162&amp;isg=y&amp;IdML=10632246" id="form1">
  <div>
    <input type="hidden" name="__VIEWSTATE" id="__VIEWSTATE"
      value="/wEPDwUJODI3MzYyODUyD2QWAgIDD2QWBAIDDxYCHgdWaXNpYmxlZ2QCBQ9kFgQCAQ8PFgIeBFRleHQFBlN1Ym1pdGRkAgMPDxYCHwEFBkNhbmNlbGRkGAEFHl9fQ29udHJvbHNSZXF1aXJlUG9zdEJhY2tLZXlfXxYHBQZjaGsyJDAFBmNoazIkMQUGY2hrMiQyBQZjaGsyJDMFBmNoazIkNAUGY2hrMiQ1BQZjaGsyJDXOU6V8GOLWrHmsGkksBDqNanV4M2jw4AGKWQZiyxW36g==">
  </div>
  <div>
    <input type="hidden" name="__VIEWSTATEGENERATOR" id="__VIEWSTATEGENERATOR" value="FF8EA46B">
    <input type="hidden" name="__EVENTVALIDATION" id="__EVENTVALIDATION"
      value="/wEdAA5RkkSHs9Q2S1gCGg9VJ2jzFJKL8I9W35TRnQFnnV1b1peoEtgp2p3gnpGTh0ziLtwj6FeCf19mFMeC45LRMwY8Xgfo6k/BuFokc/7k1QXbXHVlRlhpBoNmeibrMfRiIMlsbQmiGXbp7stg8QeJ3sRa0j97YAUe9DJs1DRCh+bfsMXkw48MYBtgYiTjb0zPLyzHD8BBqb9K/EoMyzfl+bxvjadnAnHDTzlF/GrCl3TC5K00X2ryRju2Q5j6n7VHCZrRhsXbWkFl9rqgujVaAz8R87t3alxH8aoVkAjNtpV7Ti9f8pbv1zfX6JsdxFTuiStHJkd0F1rWyYk7GC6CNebl">
  </div>
  <div id="dvAllOptOut">
    <table width="100%" border="0" cellpadding="0" cellspacing="0">
      <tbody>
        <tr>
          <td width="5" height="20" background="images/header-bg.jpg">&nbsp;</td>
          <td width="*" height="20" background="images/header-bg.jpg">
            <h3 class="heading">Communication Preferences</h3>
          </td>
          <td width="5" height="20" background="images/header-bg.jpg">&nbsp;</td>
        </tr>
      </tbody>
    </table>
    <table width="100%" border="0" cellpadding="0" cellspacing="0">
      <tbody>
        <tr>
          <td width="10" valign="top" class="contentbg">&nbsp;</td>
          <td width="*" valign="top" class="contentbg">
            <table width="100%" border="0" cellspacing="0" cellpadding="2">
              <tbody>
                <tr>
                  <td height="15"></td>
                </tr>
                <tr>
                  <td class="instructions_1" style="height: 20px; font-weight: bold;">MDOUTLOOK respects your time and effort and performs only permission based communications. <br> Please select which email communication(s) you wish to end: </td>
                </tr>
                <tr>
                  <td style="height: 10px; color: #087079; padding-left: 50px;">
                    <table id="rdl1" border="0">
                      <tbody>
                        <tr>
                          <td><input id="rdl1_0" type="radio" name="rdl1" value="1"><label for="rdl1_0">All MDOUTLOOK surveys and Quick Polls</label></td>
                        </tr>
                        <tr>
                          <td><input id="rdl1_1" type="radio" name="rdl1" value="2"><label for="rdl1_1">Special offers and information from MDOUTLOOK and its partners</label></td>
                        </tr>
                        <tr>
                          <td><input id="rdl1_2" type="radio" name="rdl1" value="3"><label for="rdl1_2">ALL communications from MDOUTLOOK</label></td>
                        </tr>
                      </tbody>
                    </table>
                  </td>
                </tr>
                <tr>
                  <td height="10"></td>
                </tr>
                <tr>
                  <td class="instructions_1" style="height: 20px; font-weight: bold;">Please tell us the reason(s) you are opting out, so that we can serve better the oncology community: </td>
                </tr>
                <tr>
                  <td style="height: 10px; color: #087079; padding-left: 50px;">
                    <table id="chk2" border="0">
                      <tbody>
                        <tr>
                          <td><input id="chk2_0" type="checkbox" name="chk2$0"><label for="chk2_0">Conflict of interest</label></td>
                        </tr>
                        <tr>
                          <td><input id="chk2_1" type="checkbox" name="chk2$1"><label for="chk2_1">Irrelevant to me</label></td>
                        </tr>
                        <tr>
                          <td><input id="chk2_2" type="checkbox" name="chk2$2"><label for="chk2_2">Not allowed to participate</label></td>
                        </tr>
                        <tr>
                          <td><input id="chk2_3" type="checkbox" name="chk2$3"><label for="chk2_3">Poor compensation</label></td>
                        </tr>
                        <tr>
                          <td><input id="chk2_4" type="checkbox" name="chk2$4"><label for="chk2_4">Too many emails</label></td>
                        </tr>
                        <tr>
                          <td><input id="chk2_5" type="checkbox" name="chk2$5"><label for="chk2_5">Others (please list below)</label></td>
                        </tr>
                      </tbody>
                    </table>
                  </td>
                </tr>
                <tr>
                  <td style="height: 10px; color: #087079; padding-left: 50px;">
                    <div id="divOthers">
                      <textarea name="txtOthers" rows="2" cols="20" id="txtOthers" style="width: 50%;"></textarea>
                    </div>
                  </td>
                </tr>
                <tr>
                  <td>
                    <span class="txt">&nbsp;</span>&nbsp;<span class="labels"></span>
                  </td>
                </tr>
              </tbody>
            </table>
          </td>
          <td width="5" valign="top" class="contentbg">&nbsp;</td>
        </tr>
      </tbody>
    </table>
  </div>
  <div id="dvAnswer">
    <table width="100%" border="0" cellpadding="0" cellspacing="0">
      <tbody>
        <tr>
          <td align="center" height="30">
            <input type="submit" name="btnYes" value="Submit" id="btnYes" class="submitBtn"> &nbsp;&nbsp; <input type="submit" name="btnNo" value="Cancel" id="btnNo" class="submitBtn">
          </td>
        </tr>
      </tbody>
    </table>
  </div>
</form>

Text Content

 


COMMUNICATION PREFERENCES

 

 

MDOUTLOOK respects your time and effort and performs only permission based
communications.
Please select which email communication(s) you wish to end:

All MDOUTLOOK surveys and Quick Polls Special offers and information from
MDOUTLOOK and its partners ALL communications from MDOUTLOOK

Please tell us the reason(s) you are opting out, so that we can serve better the
oncology community:

Conflict of interest Irrelevant to me Not allowed to participate Poor
compensation Too many emails Others (please list below)