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Find/create Google/other software App that can collect data from website visitors for a specific cause - repost

This project was awarded to seldimi for $100 USD.

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Awarded to:
Project Budget
$30 - $250 USD
Total Bids
4
Project Description

Hi ,
I need someone to find/install Google/other software App/code that can collect data from website visitors for a specific cause and these data has the following customizations:
1-They can stored and exported by website admin
2-Visitors can fill form with all data required
3-Based on data , there should be geographic location feature so it shows visitors reports based on their location (either API or based on location entered).those should show on a MAP.
4-easily customizable
5-Can be installed in PHP website

Thanks,,

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