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1 forms found in the DOM

POST /ankieta/wypelnij

<form id="surveyForm" method="post" action="/ankieta/wypelnij" enctype="multipart/form-data" data-validation-message="Uzupełnij brakujące odpowiedzi lub odpowiedz zgodnie z instrukcją" data-page-number="1" class="emptyBox">
  <div class="hidden-inputs-wrapper">
    <input type="hidden" name="id" value="583884">
    <input type="hidden" name="id_strona" id="id_strona" value="2714764">
    <input type="hidden" name="iframe" value="0">
    <input type="hidden" name="mobile" value="">
    <input type="hidden" name="test" value="0">
    <input type="hidden" name="facebox" value="0">
    <input type="hidden" name="lang" value="pl">
    <input type="hidden" name="progress" value="0">
    <input type="hidden" name="requiredAnswers" value="Uzupełnij brakujące odpowiedzi lub odpowiedz zgodnie z instrukcją">
  </div>
  <ul id="questions" class="questions">
    <li id="question_1" data-id="8177998" class="questionFillView validOncechoice  " data-wcag="true">
      <fieldset class="no-description" data-is-required="1">
        <legend>
          <h2 class="showRequired question-title">
            <span class="number">1</span><span class="dot">.</span>
            <span id="question_1_label" class="content"> Formularz na gov.pl <sup>*</sup>
            </span>
          </h2>
        </legend>
        <div class="description hidden">
        </div>
        <input type="hidden" name="odp[8177998][typ]" value="0" class="noborder">
        <div class="questionaireHint " id="8177998_hint"> Można udzielić jednej odpowiedzi.</div>
        <table border="0" cellpadding="0" cellspacing="0" class="classic hiddenInputs">
          <tbody class="no-outline" tabindex="0" role="listbox" aria-labelledby="question_1_label" aria-multiselectable="true">
            <tr id="answer_wrapper_8177998_1" role="option" aria-labelledby="answer_label_8177998_1" aria-selected="false">
              <td class="radio td1">
                <div class="iradio" style="position: relative;"><input id="questionAnswer_8177998_1" type="radio" name="odp[8177998][radio]" value="o1" aria-required="true" class="canUncheck" style="position: absolute; opacity: 0;"><span class="tick"
                    aria-hidden="true">h</span><span class="bull"></span><ins class="iCheck-helper"
                    style="position: absolute; top: 0%; left: 0%; display: block; width: 100%; height: 100%; margin: 0px; padding: 0px; background: rgb(255, 255, 255); border: 0px; opacity: 0;"></ins></div>
              </td>
              <td class="" data-target="answer-block">
                <label id="answer_label_8177998_1" class=" " for="questionAnswer_8177998_1"> tak </label>
              </td>
            </tr>
            <tr id="answer_wrapper_8177998_2" role="option" aria-labelledby="answer_label_8177998_2" aria-selected="false">
              <td class="radio td1">
                <div class="iradio" style="position: relative;"><input id="questionAnswer_8177998_2" type="radio" name="odp[8177998][radio]" value="o2" aria-required="true" class="canUncheck" style="position: absolute; opacity: 0;"><span class="tick"
                    aria-hidden="true">h</span><span class="bull"></span><ins class="iCheck-helper"
                    style="position: absolute; top: 0%; left: 0%; display: block; width: 100%; height: 100%; margin: 0px; padding: 0px; background: rgb(255, 255, 255); border: 0px; opacity: 0;"></ins></div>
              </td>
              <td class="" data-target="answer-block">
                <label id="answer_label_8177998_2" class=" " for="questionAnswer_8177998_2"> nie </label>
              </td>
            </tr>
          </tbody>
        </table>
      </fieldset>
    </li>
    <li id="question_2" class="questionFillView validDescriptive  " data-wcag="true">
      <fieldset class="no-description" data-is-required="1">
        <legend>
          <h2 class="showRequired question-title">
            <span class="number">2</span><span class="dot">.</span>
            <span id="question_2_label" class="content"> Komentarz do pytania <sup>*</sup>
            </span>
          </h2>
        </legend>
        <div class="description hidden">
        </div>
        <input type="hidden" name="odp[8178000][typ]" value="2" class="noborder">
        <table border="0" cellpadding="0" cellspacing="0">
          <tbody>
            <tr>
              <td>
                <input type="text" name="odp[8178000][oz1]" class="text" id="opisowe_8178000" value="" aria-label="Komentarz do pytania" maxlength="65535" aria-required="true" placeholder="Wpisz...">
              </td>
            </tr>
          </tbody>
        </table>
      </fieldset>
    </li>
    <li id="question_3" class="questionFillView validFile  " data-wcag="true">
      <fieldset class="no-description" data-is-required="1">
        <legend>
          <h2 class="showRequired question-title">
            <span class="number">3</span><span class="dot">.</span>
            <span id="question_3_label" class="content"> plik <sup>*</sup>
            </span>
          </h2>
        </legend>
        <div class="description hidden">
        </div>
        <input type="hidden" name="odp[8178226][typ]" value="15" class="noborder">
        <div class="questionaireHint " id="8178226_hint"> Dopuszczalne formaty plików to: pdf, zip, xml, ades, xades, pades, cades. Maksymalny rozmiar to 1 MB.</div>
        <table border="0" cellpadding="0" cellspacing="0" class="file">
          <tbody aria-labelledby="question_3_label">
            <tr>
              <td>
                <input type="hidden" name="odp[8178226][oz1]" value="">
                <input type="hidden" class="id" name="odp[8178226][id1]" value="8178226">
                <input type="hidden" class="exts" name="odp[8178226][ext1]" value="pdf, zip, xml, ades, xades, pades, cades">
                <input type="hidden" class="maxMB" name="odp[8178226][max1]" value="1">
                <input type="hidden" class="url" name="odp[8178226][url1]" value="/ankieta/upload">
                <div class="buttonArea">
                  <input type="file" name="odp_8178226" class="text file " id="plik_8178226" value="" aria-label="plik" aria-describedby="8178226_hint" placeholder="<Wybierz plik...">
                  <button>Wybierz plik...</button>
                  <span></span>
                  <div class="fileLoader hidden">
                    <svg xmlns="http://www.w3.org/2000/svg" width="40" height="40" style="">
                      <circle cx="20" cy="20" r="8" style="stroke: #00BFA5; stroke-width: 2px; fill: none; opacity: 0;">
                        <animate id="animation1" attributeName="opacity" from="0" to="1" dur="0.25s" fill="freeze" begin="0.19s;animation4.end"></animate>
                        <animate attributeName="opacity" from="1" to="0" dur="0.25s" fill="freeze" begin="animation1.end"></animate>
                      </circle>
                      <circle cx="20" cy="20" r="13" style="stroke: #00BFA5; stroke-width: 2px; fill: none; opacity: 0;">
                        <animate id="animation2" attributeName="opacity" from="0" to="1" dur="0.25s" fill="freeze" begin="animation1.end"></animate>
                        <animate attributeName="opacity" from="1" to="0" dur="0.25s" fill="freeze" begin="animation2.end"></animate>
                      </circle>
                      <circle cx="20" cy="20" r="18" style="stroke: #00BFA5; stroke-width: 2px; fill: none; opacity: 0;">
                        <animate id="animation3" attributeName="opacity" from="0" to="1" dur="0.25s" fill="freeze" begin="animation2.end"></animate>
                        <animate id="animation4" attributeName="opacity" from="1" to="0" dur="0.25s" fill="freeze" begin="animation3.end"></animate>
                      </circle>
                    </svg>
                  </div>
                </div>
              </td>
            </tr>
          </tbody>
        </table>
      </fieldset>
    </li>
  </ul>
  <ul class="submitButtons">
    <li data-wcag="true"><a href="#" class="ankietkaNextButton formFinish" id="formFinish">Wyślij <span>»</span></a></li>
  </ul>
</form>

Text Content

PODPIS PROFILEM ZAUFANYM




 * 1. FORMULARZ NA GOV.PL *
   
   
   Można udzielić jednej odpowiedzi.
   h
   tak
   h
   nie


 * 2. KOMENTARZ DO PYTANIA *
   
   
   
   


 * 3. PLIK *
   
   
   Dopuszczalne formaty plików to: pdf, zip, xml, ades, xades, pades, cades.
   Maksymalny rozmiar to 1 MB.
   Wybierz plik...
   

 * Wyślij »


Ładowanie...