Html for survey


Need HTML for survey. Will be in 2 sections, 1st user will provided Name, Email and an optional code, a javascript call must be called on the "submit",which we will complete with a validation and return a function call that will "show" the second part, which will ask 5 questions, country of origin, Resident status (house owner/renter/border), Job status (Contract worker/permently employed/neither), Active social network groups (titter, facebook, ect), residing with family and if participant has active dependants. The final submit will have another javascript method which we will modify to save the results and redirect the user to a URL ( [url removed, login to view] ) Best design gets the job. We have no active design, so you are free to design the survey to your liking. Thank you.

Skills: HTML, HTML5

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Project ID: #5383777