- Scan ID:
- 36bdf033-7746-4c19-a491-93cec7829b4aFinished
- Submitted URL:
- https://ee.kobotoolbox.org/x/lY1IXp6w
- Report Finished:
Links · 1 found
The outgoing links identified from the page
| Link | Text |
|---|---|
| https://enketo.org |
JavaScript Variables · 13 found
Global JavaScript variables loaded on the window object of a page, are variables declared outside of functions and accessible from anywhere in the code within the current scope
| Name | Type |
|---|---|
| onbeforetoggle | object |
| documentPictureInPicture | object |
| onscrollend | object |
| env | object |
| GoogleAnalyticsObject | string |
| ga | function |
| google_tag_data | object |
| gaplugins | object |
| gaGlobal | object |
| gaData | object |
Console log messages · 6 found
Messages logged to the web console
| Type | Category | Log |
|---|---|---|
| log | other |
|
| log | other |
|
| log | other |
|
| log | other |
|
| log | other |
|
| log | other |
|
HTML
The raw HTML body of the page
<!DOCTYPE html><html lang="en-us" dir="ltr"><head><title>تقييم احتياج قرى ومناطق</title><meta charset="utf-8"><meta name="author" content="Martijn van de Rijdt (Enketo LLC)"><meta name="viewport" content="width=device-width, initial-scale=1.0"><link rel="shortcut icon" href="/x/images/favicon.ico"><link rel="icon" type="image/png" sizes="180x180" href="/x/images/icon_180x180.png"><link rel="apple-touch-icon" sizes="180x180" href="/x/images/icon_180x180.png"><script async="" src="//www.google-analytics.com/analytics.js"></script><script>if (navigator.userAgent.indexOf('Trident/') >= 0) {
window.location.href = '/modern-browsers';
}
</script><!-- preload for performance--><link rel="preload" as="font" href="/x/fonts/OpenSans-Bold-webfont.woff" type="font/woff" crossorigin=""><link rel="preload" as="font" href="/x/fonts/OpenSans-Regular-webfont.woff" type="font/woff" crossorigin=""><link rel="preload" as="font" href="/x/fonts/fontawesome-webfont.woff?v=4.6.2" type="font/woff" crossorigin=""><!-- critical styles inline for performance--><style>@keyframes pulsate {
0% {
transform: scale(0.5);
opacity: 0; }
50% {
opacity: 0.8; }
100% {
transform: scale(1.2);
opacity: 0; } }
html {
height: 100%;
overflow-x: hidden; }
body {
overflow-x: hidden;
margin: 0;
min-height: 100%;
display: flex;
flex-direction: column;
transition: background-color 1.3s ease; }
progress {
display: block;
margin: 10px auto; }
.preview progress {
margin: 80px auto; }
.main-loader {
flex: 1;
display: flex;
align-items: center;
justify-content: center; }
.main-loader.fail .main-loader__image {
border: transparent;
animation: none; }
.main-loader__image {
border: 10px solid #ccc;
transition: border-color 1.3s ease;
border-radius: 100px;
height: 100px;
width: 100px;
opacity: 0;
animation: pulsate 2s ease-out;
animation-iteration-count: infinite; }
.main-loader ~ .main,
.main-loader ~ .side-slider {
display: none; }
.loader-animation-small {
border: 5px solid #ccc;
transition: border-color 1.3s ease;
border-radius: 50px;
height: 50px;
width: 50px;
opacity: 0;
animation: pulsate 2s ease-out;
animation-iteration-count: infinite; }
.page-break {
display: none; }
.log {
word-break: break-all; }
</style><link rel="stylesheet" media="all" type="text/css" href="/x/css/theme-kobo.css"><link rel="stylesheet" media="print" type="text/css" href="/x/css/theme-kobo.print.css"></head><body><div class="main"><article class="paper"><header class="form-header"><div class="offline-enabled"><div class="offline-enabled__icon not-enabled" title="This form is able to launch offline"></div><div class="offline-enabled__queue-length" title="Records Queued">0</div></div><div class="form-progress"></div><div class="form-header__branding"><div class="logo-wrapper"><img src="data:image/svg+xml;base64,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" alt="brand logo"></div></div><div class="form-header__filler"></div><button class="form-header__button--print btn-bg-icon-only" onclick="return false;"></button><span class="form-language-selector hide"><span data-i18n="form.chooseLanguage">Choose Language</span></span><button class="form-header__button--homescreen btn-icon-only hide" type="button" aria-label="add to homescreen"><i class="icon icon-bookmark-o"> </i></button><nav class="pages-toc hide" role="navigation"><label for="toc-toggle"></label><input class="ignore" id="toc-toggle" type="checkbox" value="show"><ul class="pages-toc__list"></ul><div class="pages-toc__overlay"></div></nav></header><form autocomplete="off" novalidate="novalidate" class="or clearfix" dir="ltr" data-form-id="aranqXBj46B2NqR5VjmUba" onsubmit="return false;" data-edited="false">
<!--This form was created by transforming an ODK/OpenRosa-flavored (X)Form using an XSL stylesheet created by Enketo LLC.--><section class="form-logo"></section><h3 dir="auto" id="form-title">تقييم احتياج قرى ومناطق</h3>
<label class="question non-select contains-ref-target" data-contains-ref-target="/aranqXBj46B2NqR5VjmUba/text_mp7ml67"><!--refTargetContainers:/aranqXBj46B2NqR5VjmUba/text_mp7ml67--><span lang="" class="question-label active">القرية او المنطقة</span><span class="required">*</span><input type="text" name="/aranqXBj46B2NqR5VjmUba/text_mp7ml67" data-required="true()" data-type-xml="string" class="ref-target" data-ref="/aranqXBj46B2NqR5VjmUba/text_mp7ml67" maxlength="1000000"><span class="or-required-msg active" lang="" data-i18n="constraint.required">This field is required</span></label>
<fieldset class="question simple-select contains-ref-target" data-contains-ref-target="/aranqXBj46B2NqR5VjmUba/select_multiple_cz49k80"><!--refTargetContainers:/aranqXBj46B2NqR5VjmUba/select_multiple_cz49k80--><fieldset><legend><span lang="" class="question-label active">حالة السكن</span><span class="required">*</span>
</legend><div class="option-wrapper"><label class=""><input type="checkbox" name="/aranqXBj46B2NqR5VjmUba/select_multiple_cz49k80" value="______" data-required="true()" data-type-xml="string" class="ref-target" data-ref="/aranqXBj46B2NqR5VjmUba/select_multiple_cz49k80" maxlength="1000000"><span lang="" class="option-label active">قابل للسكن وحالته جيده</span></label><label class=""><input type="checkbox" name="/aranqXBj46B2NqR5VjmUba/select_multiple_cz49k80" value="__" data-required="true()" data-type-xml="string" class="ref-target" data-ref="/aranqXBj46B2NqR5VjmUba/select_multiple_cz49k80" maxlength="1000000"><span lang="" class="option-label active">هدم جزئي</span></label><label class=""><input type="checkbox" name="/aranqXBj46B2NqR5VjmUba/select_multiple_cz49k80" value="___1" data-required="true()" data-type-xml="string" class="ref-target" data-ref="/aranqXBj46B2NqR5VjmUba/select_multiple_cz49k80" maxlength="1000000"><span lang="" class="option-label active">هدم كامل</span></label></div></fieldset><span class="or-required-msg active" lang="" data-i18n="constraint.required">This field is required</span></fieldset>
<label class="question non-select contains-ref-target" data-contains-ref-target="/aranqXBj46B2NqR5VjmUba/text_fr5pp48"><!--refTargetContainers:/aranqXBj46B2NqR5VjmUba/text_fr5pp48--><span lang="" class="question-label active">الاسم الثلاثي للزوج</span><span class="required">*</span><input type="text" name="/aranqXBj46B2NqR5VjmUba/text_fr5pp48" data-required="true()" data-type-xml="string" class="ref-target" data-ref="/aranqXBj46B2NqR5VjmUba/text_fr5pp48" maxlength="1000000"><span class="or-required-msg active" lang="" data-i18n="constraint.required">This field is required</span></label>
<label class="question non-select contains-ref-target" data-contains-ref-target="/aranqXBj46B2NqR5VjmUba/text_ns6rl34"><!--refTargetContainers:/aranqXBj46B2NqR5VjmUba/text_ns6rl34--><span lang="" class="question-label active">والدة الزوج</span><span class="required">*</span><input type="text" name="/aranqXBj46B2NqR5VjmUba/text_ns6rl34" data-required="true()" data-type-xml="string" class="ref-target" data-ref="/aranqXBj46B2NqR5VjmUba/text_ns6rl34" maxlength="1000000"><span class="or-required-msg active" lang="" data-i18n="constraint.required">This field is required</span></label>
<label class="question non-select contains-ref-target" data-contains-ref-target="/aranqXBj46B2NqR5VjmUba/integer_bt0fl67" lang="en-US"><!--refTargetContainers:/aranqXBj46B2NqR5VjmUba/integer_bt0fl67--><span lang="" class="question-label active">مواليد الزوج</span><span class="required">*</span><input type="number" name="/aranqXBj46B2NqR5VjmUba/integer_bt0fl67" data-required="true()" data-type-xml="int" class="ref-target" data-ref="/aranqXBj46B2NqR5VjmUba/integer_bt0fl67" pattern="^-?[0-9]+$"><span class="or-required-msg active" lang="" data-i18n="constraint.required">This field is required</span><div class="invalid-value-msg active"></div></label>
<label class="question non-select contains-ref-target" data-contains-ref-target="/aranqXBj46B2NqR5VjmUba/text_fd4lf34"><!--refTargetContainers:/aranqXBj46B2NqR5VjmUba/text_fd4lf34--><span lang="" class="question-label active">الاسم الثلاثي للزوجه</span><span class="required">*</span><input type="text" name="/aranqXBj46B2NqR5VjmUba/text_fd4lf34" data-required="true()" data-type-xml="string" class="ref-target" data-ref="/aranqXBj46B2NqR5VjmUba/text_fd4lf34" maxlength="1000000"><span class="or-required-msg active" lang="" data-i18n="constraint.required">This field is required</span></label>
<label class="question non-select contains-ref-target" data-contains-ref-target="/aranqXBj46B2NqR5VjmUba/integer_fe4qg36" lang="en-US"><!--refTargetContainers:/aranqXBj46B2NqR5VjmUba/integer_fe4qg36--><span lang="" class="question-label active">رقم الثبوتية</span><span class="required">*</span><input type="number" name="/aranqXBj46B2NqR5VjmUba/integer_fe4qg36" data-required="true()" data-type-xml="int" class="ref-target" data-ref="/aranqXBj46B2NqR5VjmUba/integer_fe4qg36" pattern="^-?[0-9]+$"><span class="or-required-msg active" lang="" data-i18n="constraint.required">This field is required</span><div class="invalid-value-msg active"></div></label>
<label class="question non-select contains-ref-target" data-contains-ref-target="/aranqXBj46B2NqR5VjmUba/integer_yf3yf36" lang="en-US"><!--refTargetContainers:/aranqXBj46B2NqR5VjmUba/integer_yf3yf36--><span lang="" class="question-label active">رقم التواصل</span><input type="number" name="/aranqXBj46B2NqR5VjmUba/integer_yf3yf36" data-type-xml="int" class="ref-target" data-ref="/aranqXBj46B2NqR5VjmUba/integer_yf3yf36" pattern="^-?[0-9]+$"><div class="invalid-value-msg active"></div></label>
<label class="question non-select contains-ref-target" data-contains-ref-target="/aranqXBj46B2NqR5VjmUba/integer_xg3vu44" lang="en-US"><!--refTargetContainers:/aranqXBj46B2NqR5VjmUba/integer_xg3vu44--><span lang="" class="question-label active">عدد افراد الاسرة</span><span class="required">*</span><input type="number" name="/aranqXBj46B2NqR5VjmUba/integer_xg3vu44" data-required="true()" data-type-xml="int" class="ref-target" data-ref="/aranqXBj46B2NqR5VjmUba/integer_xg3vu44" pattern="^-?[0-9]+$"><span class="or-required-msg active" lang="" data-i18n="constraint.required">This field is required</span><div class="invalid-value-msg active"></div></label>
<fieldset class="question simple-select contains-ref-target" data-contains-ref-target="/aranqXBj46B2NqR5VjmUba/select_multiple_tk0mt12"><!--refTargetContainers:/aranqXBj46B2NqR5VjmUba/select_multiple_tk0mt12--><fieldset><legend><span lang="" class="question-label active">اسره تديرها امراه</span>
</legend><div class="option-wrapper"><label class=""><input type="checkbox" name="/aranqXBj46B2NqR5VjmUba/select_multiple_tk0mt12" value="_" data-type-xml="string" class="ref-target" data-ref="/aranqXBj46B2NqR5VjmUba/select_multiple_tk0mt12" maxlength="1000000"><span lang="" class="option-label active">ارمله</span></label><label class=""><input type="checkbox" name="/aranqXBj46B2NqR5VjmUba/select_multiple_tk0mt12" value="__1" data-type-xml="string" class="ref-target" data-ref="/aranqXBj46B2NqR5VjmUba/select_multiple_tk0mt12" maxlength="1000000"><span lang="" class="option-label active">مطلقه</span></label><label class=""><input type="checkbox" name="/aranqXBj46B2NqR5VjmUba/select_multiple_tk0mt12" value="__2" data-type-xml="string" class="ref-target" data-ref="/aranqXBj46B2NqR5VjmUba/select_multiple_tk0mt12" maxlength="1000000"><span lang="" class="option-label active">ايتام</span></label><label class=""><input type="checkbox" name="/aranqXBj46B2NqR5VjmUba/select_multiple_tk0mt12" value="__3" data-type-xml="string" class="ref-target" data-ref="/aranqXBj46B2NqR5VjmUba/select_multiple_tk0mt12" maxlength="1000000"><span lang="" class="option-label active">معتقل</span></label><label class=""><input type="checkbox" name="/aranqXBj46B2NqR5VjmUba/select_multiple_tk0mt12" value="__4" data-type-xml="string" class="ref-target" data-ref="/aranqXBj46B2NqR5VjmUba/select_multiple_tk0mt12" maxlength="1000000"><span lang="" class="option-label active">مفقود</span></label></div></fieldset></fieldset>
<label class="question non-select contains-ref-target" data-contains-ref-target="/aranqXBj46B2NqR5VjmUba/integer_ok2zt13" lang="en-US"><!--refTargetContainers:/aranqXBj46B2NqR5VjmUba/integer_ok2zt13--><span lang="" class="question-label active">عدد الاصابات الحربية</span><input type="number" name="/aranqXBj46B2NqR5VjmUba/integer_ok2zt13" data-type-xml="int" class="ref-target" data-ref="/aranqXBj46B2NqR5VjmUba/integer_ok2zt13" pattern="^-?[0-9]+$"><div class="invalid-value-msg active"></div></label>
<label class="question non-select contains-ref-target" data-contains-ref-target="/aranqXBj46B2NqR5VjmUba/integer_nj7pn56" lang="en-US"><!--refTargetContainers:/aranqXBj46B2NqR5VjmUba/integer_nj7pn56--><span lang="" class="question-label active">ذوي احتياجات خاصه</span><input type="number" name="/aranqXBj46B2NqR5VjmUba/integer_nj7pn56" data-type-xml="int" class="ref-target" data-ref="/aranqXBj46B2NqR5VjmUba/integer_nj7pn56" pattern="^-?[0-9]+$"><div class="invalid-value-msg active"></div></label>
<label class="question non-select contains-ref-target" data-contains-ref-target="/aranqXBj46B2NqR5VjmUba/integer_eo1kb89" lang="en-US"><!--refTargetContainers:/aranqXBj46B2NqR5VjmUba/integer_eo1kb89--><span lang="" class="question-label active">عدد الايتام</span><input type="number" name="/aranqXBj46B2NqR5VjmUba/integer_eo1kb89" data-type-xml="int" class="ref-target" data-ref="/aranqXBj46B2NqR5VjmUba/integer_eo1kb89" pattern="^-?[0-9]+$"><div class="invalid-value-msg active"></div></label>
<label class="question non-select contains-ref-target" data-contains-ref-target="/aranqXBj46B2NqR5VjmUba/text_bh8mb68"><!--refTargetContainers:/aranqXBj46B2NqR5VjmUba/text_bh8mb68--><span lang="" class="question-label active">مدخل البيانات</span><span class="required">*</span><input type="text" name="/aranqXBj46B2NqR5VjmUba/text_bh8mb68" data-required="true()" data-type-xml="string" class="ref-target" data-ref="/aranqXBj46B2NqR5VjmUba/text_bh8mb68" maxlength="1000000"><span class="or-required-msg active" lang="" data-i18n="constraint.required">This field is required</span></label>
<label class="question non-select contains-ref-target" data-contains-ref-target="/aranqXBj46B2NqR5VjmUba/text_sz9vj92"><!--refTargetContainers:/aranqXBj46B2NqR5VjmUba/text_sz9vj92--><span lang="" class="question-label active">ملاحظات</span><input type="text" name="/aranqXBj46B2NqR5VjmUba/text_sz9vj92" data-type-xml="string" class="ref-target" data-ref="/aranqXBj46B2NqR5VjmUba/text_sz9vj92" maxlength="1000000"></label>
<fieldset id="or-preload-items" style="display:none;"><label class="calculation non-select "><input type="hidden" name="/aranqXBj46B2NqR5VjmUba/start" data-preload="timestamp" data-preload-params="start" data-type-xml="dateTime"></label><label class="calculation non-select "><input type="hidden" name="/aranqXBj46B2NqR5VjmUba/end" data-preload="timestamp" data-preload-params="end" data-type-xml="dateTime"></label><label class="calculation non-select "><input type="hidden" name="/aranqXBj46B2NqR5VjmUba/meta/instanceID" data-preload="uid" data-preload-params="" data-type-xml="string" maxlength="1000000"></label></fieldset><fieldset id="or-calculated-items" style="display:none;"><label class="calculation non-select "><input type="hidden" name="/aranqXBj46B2NqR5VjmUba/__version__" data-calculate="'vxdXncsHWchbfqsqF4m9jV'" data-type-xml="string" value="vxdXncsHWchbfqsqF4m9jV" maxlength="1000000"></label><label class="calculation non-select "><input type="hidden" name="/aranqXBj46B2NqR5VjmUba/formhub/uuid" data-calculate="'eb33210903594a3ea9c3954f66028144'" data-type-xml="string" value="eb33210903594a3ea9c3954f66028144" maxlength="1000000"></label></fieldset></form><section class="form-footer"><div class="form-footer__content"><div class="form-footer__content__main-controls"><button class="btn btn-default" id="save-draft"><i class="icon icon-info-circle save-draft-info"> </i><i class="icon icon-pencil"> </i><span data-i18n="formfooter.savedraft.btn">Save Draft</span></button><button class="btn btn-primary" id="submit-form"><i class="icon icon-check"> </i><span data-i18n="formfooter.submit.btn">Submit</span></button><a class="btn btn-primary next-page" href="#"><i class="icon icon-arrow-right"></i><span data-i18n="form.pages.next">Next</span></a><div class="logout hide"><a href="/logout" title="log out of all enketo forms that require authentication" data-i18n="form.logout">log out</a></div><!-- If you're considering changing this, be careful not to violate licence terms.--><div class="enketo-power"><span data-i18n="enketo.power">Powered by</span><a href="https://enketo.org" title="enketo.org website"><img src="data:image/svg+xml;base64,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" alt="Enketo logo"></a></div><a class="previous-page disabled" href="#" data-i18n="form.pages.back">Back</a></div><div class="form-footer__content__jump-nav"><a class="btn btn-default disabled first-page" href="#" data-i18n="form.pages.return">Return to Beginning</a><a class="btn btn-default disabled last-page" href="#" data-i18n="form.pages.end">Go to End</a></div></div></section></article></div><aside class="record-list side-slider"><button class="btn-icon-only close" type="button" aria-hidden="true">×</button><h3 data-i18n="record-list.title">Queue</h3><p data-i18n="record-list.msg1">Records are stored inside your browser until they have been uploaded (even if you turn off your computer or go offline).</p><ul class="record-list__records"><li class="record-list__records--none" data-i18n="record-list.norecords">no records queued</li></ul><div class="record-list__button-bar"><button class="record-list__button-bar__button upload btn btn-primary" type="button" disabled="" data-i18n="record-list.upload">Upload</button><button class="record-list__button-bar__button export btn btn-default" type="button" disabled="" data-i18n="record-list.export">Export</button></div><p data-i18n="record-list.msg2" data-i18n-icon="icon-pencil">Queued records, except those marked as draft <span class="icon icon-pencil"> </span>, are uploaded automatically, in the background, every 5 minutes when the web page is open and an Internet connection is available.</p><p data-i18n="record-list.msg3">To force an upload in between automatic attempts, click Upload.</p><p class="side-slider__app-version"><span data-i18n="version">version:</span><span class="side-slider__app-version__value"></span></p><p class="side-slider__advanced hide"><button class="side-slider__advanced__button flush-db btn btn-default" type="button" data-i18n="advanced.flushdb">Clear Storage</button></p></aside><button class="side-slider__toggle open" type="button" aria-label="open"></button><button class="side-slider__toggle close" type="button" aria-label="close"></button><div class="slider-overlay"></div><div class="alert-box warning feedback-bar--show" id="feedback-bar"><p>A new version of this application has been downloaded. Refresh this page to load the updated version.</p><span class="icon icon-info-circle"></span><button class="btn-icon-only close">×</button></div><script id="main-script" defer="" type="module" src="/x/js/build/enketo-webform.js"></script><script>var env = {"googleApiKey":"AIzaSyD7o1SHWpS8DTeMKf9aO_M1lTnX47p0kCc","maps":[{"name":"humanitarian","tiles":["https://{s}.tile.openstreetmap.fr/hot/{z}/{x}/{y}.png"],"attribution":"© <a href=\"http://openstreetmap.org\">OpenStreetMap<\/a> & <a href=\"https://www.hotosm.org/updates/2013-09-29_a_new_window_on_openstreetmap_data\">Yohan Boniface & Humanitarian OpenStreetMap Team<\/a> | <a href=\"https://www.openstreetmap.org/copyright\">Terms<\/a>"},{"name":"satellite","tiles":["https://server.arcgisonline.com/ArcGIS/rest/services/World_Imagery/MapServer/tile/{z}/{y}/{x}"],"attribution":"Tiles © Esri — Source: Esri, i-cubed, USDA, USGS, AEX, GeoEye, Getmapping, Aerogrid, IGN, IGP, UPR-EGP, and the GIS User Community"},{"name":"terrain","tiles":["https://{s}.tile.opentopomap.org/{z}/{x}/{y}.png"],"attribution":"© <a href=\"https://openstreetmap.org\">OpenStreetMap<\/a> | <a href=\"https://www.openstreetmap.org/copyright\">Terms<\/a>"},{"name":"streets","tiles":["https://{s}.tile.openstreetmap.org/{z}/{x}/{y}.png"],"attribution":"© <a href=\"https://openstreetmap.org\">OpenStreetMap<\/a> | <a href=\"https://www.openstreetmap.org/copyright\">Terms<\/a>"}],"modernBrowsersURL":"modern-browsers","supportEmail":"[email protected]","themesSupported":["formhub","grid","kobo","plain"],"defaultTheme":"kobo","languagesSupported":["ar","cs","de","el","en","es","fa","fi","fr","hi","it","ka","lo","nl","no","pl","pt","ro","ru","sk","sq","sv","sw","tr","uk","vi","zh"],"timeout":300000,"submissionParameter":{"name":""},"basePath":"","repeatOrdinals":false,"validateContinuously":false,"validatePage":true,"textMaxChars":"1000000","csrfCookieName":"__csrf__kobotoolbox_org","excludeNonRelevant":false,"experimentalOptimizations":{"computeAsync":false}};
</script><script>(function(i,s,o,g,r,a,m){i['GoogleAnalyticsObject']=r;i[r]=i[r]||function(){
(i[r].q=i[r].q||[]).push(arguments)},i[r].l=1*new Date();a=s.createElement(o),
m=s.getElementsByTagName(o)[0];a.async=1;a.src=g;m.parentNode.insertBefore(a,m)
})(window,document,'script','//www.google-analytics.com/analytics.js','ga');
ga('create', 'G-6RF102RFCS', { 'allowAnchor': true });
ga('send', 'pageview', { 'page': location.pathname + location.hash });</script></body></html>