Simple customer satisfaction survey form (php to email)

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Bids
21
Avg Bid (USD)
$40
Project Budget (USD)
$30 - $250

Project Description:
Hi

I need a simple customer satisfaction survey of approx 10 questions. All questions have five choises (radio buttons).

The html-page is made according to our layout. I hope that the developer could install some nice jquery effects (validators etc.) to make the look more modern.

The page is installed to our server and inputs are sent to one email address (no need to save anything to database). The form is made by html + css + js (php).

I need the form executed in 24 hours.

I have some html (psd to html) projects also in the future.

Skills required:
Data Processing, Javascript, PHP
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