Non-Java Exit Survey Pop-Up Script (MySql/PhP)

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Bids
2
Avg Bid (USD)
$225
Project Budget (USD)
$30 - $250

Project Description:
I'm looking for an exit survey pop-up (non-blockable for pop up blockers) that is entirely MySql / PhP (No Javascript)

Because the order forms we're using have Java, and this breaks the code.

Ex: http://www.optionsuniversity.com/iscript.php?XjNjxOme7z/GY

Need this in 24-48 hours ideally.

Will give demo account in shopping cart platform to test and troubleshoot.

Skills required:
AJAX, Javascript, MySQL, PHP, Software Architecture
About the employer:
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