Survey Form Page

<div class="survey-form-page">
    <div class="content">
        <p>Opt out of Survey Emails</p>
        <p>To opt yourself from future survey emails, please complete the form below and choose 'Yes'.</p>
    </div>

    <form name="ProfileForm" onsubmit="return CheckInputs();" action="https://link.info.thefa.com/u/register.php" method="get">
        <input type="hidden" name="CID" value="789193440" /><input type="hidden" name="SID" value="" /><input type="hidden" name="UID" value="" /><input type="hidden" name="f" value="1873" /><input type="hidden" name="p" value="2" /><input type="hidden" name="a" value="r" /><input type="hidden" name="el" value="" /><input type="hidden" name="llid" value="" /><input type="hidden" name="c" value="" /><input type="hidden" name="counted" value="" /><input type="hidden" name="RID" value="" /><input type="hidden" name="mailnow" value="" />Email:<input type="text" name="inp_3" maxlength="255" value="" /><br />
        Survey Opt Out:<select name="inp_23870" size="1">
            <option value=""></option>
            <option value="1">Yes</option>
        </select><br />
        <input aria-label="Submit" tabindex="993" type="button" onclick="javascript:SubmitIt()" name="submit1" value="Submit" />
    </form>

    <script language="javascript">
        function onbeforesubmit() {
            return true;
        }
    </script>
    <script language="javascript">
        var error;
        var form_lanuage = "en";

        function is_3_valid(input) {
            if (input == "") {
                error += "Email: missing data!\n";
                return false;
            }
            return true;
        }

        function CheckInputs() {
            var check_ok = true;
            error = "Wrong input!\n";
            check_ok = is_3_valid(document.ProfileForm.inp_3.value) && check_ok;
            if (check_ok == false) alert(error);
            return check_ok;
        }
        //-->
    </script>

    <script language="javascript">
        function SubmitIt() {
            if (CheckInputs() == true) {
                if (window.onbeforesubmit) onbeforesubmit();
                document.ProfileForm.submit();
            }
        }

        function MailIt() {
            if (CheckInputs()) {
                if (
                    document.ProfileForm.subject.value == "" ||
                    document.ProfileForm.msg.value == ""
                )
                    alert("Bitte f\u00fcr Sie die Nachrichtenfelder aus!");
                else document.ProfileForm.submit();
            }
        }

        function FieldWithName(frm, fieldname, numofield) {
            if (!numofield) numofield = 0;
            field_count = 0;
            for (i = 0; i < frm.elements.length; ++i) {
                if (frm.elements[i].name == fieldname) {
                    if (field_count == numofield) return frm.elements[i];
                    else field_count++;
                }
            }
        }

        function NumChecked(frm, fieldname) {
            var count = 0;
            for (i = 0; i < frm.elements.length; ++i) {
                if (
                    frm.elements[i].name == fieldname &&
                    frm.elements[i].checked == true
                )
                    ++count;
            }
            return count;
        }

        function NumSel(field) {
            var count = 0;
            for (i = 0; i < field.length; ++i)
                if (field[i].selected == true) ++count;
            return count;
        }
    </script>

    <script language="javascript">
        var multiFields = new Array();
        var dateFields = new Array();
        multiFields["interest[]"] = "interest";
        multiFields["optin"] = "optin";
        var arr_interest = new Array();
    </script>

    <script language="javascript" src="https://link.info.thefa.com/u/nprefill.js" type="text/javascript"></script>

</div>