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Javascript questionnaire script and CSS

This project received 32 bids from talented freelancers with an average bid price of $119 USD.

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Project Budget
$30 - $250 USD
Total Bids
32
Project Description

Need a coder with above listed experience to implement a few Yes/No pre-order screening script like this one:

[url removed, login to view]

Mine questionnaire is much simpler than the above example.

1. I will provide a list of 3-4 Yes/No questions and response;
2. You need to implement it into our current website and it will include creation of 2-3 contact form/upload sort of html page.
3. It is extremely important that the code you deliver to be absolutely CLEAN, no mess and no unnecessary includes, the naming of the JS code should make sense, it's not OK to use asis from the example site.
4. No graphics of what-so-ever is needed, but some CSS work to style the texts and buttons needed to be done to my satisfaction.

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