Need a mobile app of a very simple form

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We need a mobile app of a very simple set of forms. All the info on the forms attached must be editable on the backend, and each cell need to be filled out by the user. These (question and answer) items will have drop downs, so some tweaking will need to be done after the app is completed.

Please indicate if you charge by the hour or for the entire project. This is a very simple project, but i do not have the time to do it myself. Need this done within the next few days. Need this for Android & Apple IOS as well, but primarily for Android.

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