Exit survey in jquery

Avg Bid (USD)
Project Budget (USD)
$10 - $30

Project Description:
I need to popup an exit survey for people landing on a certain page of my website. It should either detect that the user is about to click back, or use the beforeunload event in javascript/jquery. Can be written in javascript or jquery. It should display a simple survey and store the results in a database. My site is in Zen Cart. Deliverable is just the jquery and html code to do the survey.

Skills required:
jQuery / Prototype, PHP
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$ 34
in 1 days