Create Flash image and add to web survey form.

Avg Bid (USD)
Project Budget (USD)
$30 - $250

Project Description:
Hello i have a flash image i would like to create. This flash image will be an image of
a human body part where users can select parts of body and write a description of
what part is hurting, after user selects the part they will continue to write down information like email
best time doctor to call them, etc. I have included an image of how i want body image
to look to the user. I will need a form embedded in left center part of my website and form to work within
the wordpress theme. thanks happy bidding.

Skills required:
Graphic Design, HTML, PHP, Website Design
Additional Files: Screen+Shot+2013-01-22+at+1.59.04+AM.png 11570601-human-body-joint-pain-inflamation-medical-x-ray-pose-joints-muscles-blue.jpg
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