In Progress

Redesign & Code a Submission Form

We have a submission form (see attachment for screen shot) that we need the following developed for:

- redesign it so it uses the CSS in the attached JSFiddle [url removed, login to view] >>> this means your final form should have the look and feel of the JSfiddle, nice and clean in design with the content of the screen shot attached.

- the user should be able to click the thumbs up picture or thumbs down picture and the opposite icon picture will fade to grey. This means the effect should be that the user has selected either good or bad and see that they have selected good or bad.

- when the user hovers over either of the thumbs it will hover above and say "It was good" OR "It was bad" as in the attached screen shots (can use CSS and or JQuery but it must work on all browsers)

- if the user clicks on the tick box "Response Required" then the other 3 fields underneath will appear - see the attached doc

- the form MUST work on all browsers IE7+ Chrome, Firefox, Safari - and look good in all those browsers

- the form MUST work on smartphones (and tablets), it must fit in the full width of the screen without manual zooming required, it must be easy to read and type on a phone/tablet. If you are 100% certain this can not be done then you can suggest that we use 2 different forms and the project will require you to provide 2 different forms.

- the form must write the entered fields into a MYSQL database (running on local host, with 1 table called Feedback, there will be separate fields as described in the attached doc) - you should use PHP to do this

- after submission and writing the details to the database the form must redirect to a different page (eg [url removed, login to view])

- no validation is required on the fields EXCEPT the user MUST have clicked either thumbs up or thumbs down and then they can submit, they can not submit until they have clicked one

You will provide us with:

1. the html file

2. the CSS file

3. the updated JSfiddle - so we can see the design

4. any instructions to use PHP / MySQL required to get it to work on our dev server



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About the Employer:
( 8 reviews ) Dee Why, Australia

Project ID: #4349902

Awarded to:


Hello, I am very good with custom forms in (PHP, jQuery, HTML and CSS) - also I have the tools I need to test this cross browser (Mobile as well) and likely where most time will be spent. Simple task for me as I do More

$220 USD in 3 days
(1 Review)

11 freelancers are bidding on average $206 for this job


we can help [url removed, login to view] check private message for sample work..

$170 USD in 7 days
(91 Reviews)

Hi, we have expertise in HTML5 / CSS3 (Mobile Browser Compatible & Responsive), jQuery, PHP/MySQL, .Net, OsCommerce, Wordpress, Joomla, Drupal, Magento, ZenCart, Mobile Apps etc. You can see more details with PMB, Than More

$270 USD in 12 days
(35 Reviews)

Hi there, We are experts in PHP Open Source (any kind of PHP/MySQL work),wordpress and Ajax/Web 2.0 technology. Some of the projects we completed for php are mentioned below [url removed, login to view] More

$250 USD in 5 days
(71 Reviews)

Hi, I can start working now. Let me know if you are interested.

$200 USD in 10 days
(18 Reviews)

Hello Sir, We have gone through the details you have provided and would be pleased to work on this with you to deliver the results that you have expected and We are sure you will not be disappointed if you give us More

$160 USD in 3 days
(9 Reviews)

We understood your requirement for the submission form in high level. If you consider to go ahead with us then our solution architects will sit with you to discuss the project in detail. When can we talk about this pro More

$140 USD in 15 days
(7 Reviews)

on2itonline: Hi, KIWI Team here at on2itonline would love to work for you on this project, we do "full service" websites on a clear and fixed budget. We have lots of offer that others don't, like our lifetime FRE More

$400 USD in 15 days
(2 Reviews)

This job is a piece of cake for me.

$150 USD in 3 days
(12 Reviews)

Lets start your work... please see pmb

$210 USD in 8 days
(1 Review)

May I help you to finish this.? I always like to work with AJAX and JQUERY. thank you,

$100 USD in 2 days
(0 Reviews)