Closed

Very Short Survey Form

I need to create a survey form and following fields will be there:

Date, Name, Address, GPS Coordinates, Gender, Number of Children and then there will be a Process and user has to check radio button to tell about the consequences and likelihood after that it should auto calculate the result based upon the selection and then we will show the level (Low, Moderate, High, Extreme) of that calculated value.

Finaly, we will submit

Skills: HTML, Javascript, PHP

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About the Employer:
( 1 review ) Lahore, Pakistan

Project ID: #4409000

21 freelancers are bidding on average $84 for this job

toinnisfree

quick pro help. ftp and milestone required.

$105 USD in 2 days
(544 Reviews)
7.9
VileGnosis

I have sent a private message to your inbox that contains my relevent skills and any questions I have.

$60 USD in 1 day
(188 Reviews)
6.7
kssoftphp

I am ready and expert in PHP and MySQL.

$90 USD in 3 days
(47 Reviews)
6.6
alifinteractive

Hi, We have a dedicated team with 7 years of experience on PHP/MySQL, Ajax, Jquery, HTML, CSS, Javascript, Java/J2EE. Also having much experience on framework and CMS like 1) CakePHP 2) CodeIgniter 3) Zendframew More

$80 USD in 2 days
(25 Reviews)
6.1
casper123

Hi.. Its a really simple task and I'll do it in easily.. So lets start.. Please see my reviews as reference.. For more visit my portfolio website: http://wahabkotwal.com

$30 USD in 1 day
(40 Reviews)
5.8
rajibdebslg

Hi, I am very interested. Please let me know more information. Thanks, Rajib

$30 USD in 3 days
(34 Reviews)
4.7
harsh170890

Hi , we have gone through your requirements and we can help you. Lets talk about this project in detail. Please check pm.

$103 USD in 3 days
(5 Reviews)
3.3
tonyshaeeb

Please share details of project. Thanks,

$65 USD in 2 days
(8 Reviews)
3.2
royalmediaro

Please provide more information.

$80 USD in 3 days
(1 Review)
3.1
HongNenYu

I can do it. Thanks.

$100 USD in 2 days
(8 Reviews)
2.4
RITESHBATHWAL

I am ready to complete this very soon. I have the required skill and expertise for this job.

$40 USD in 2 days
(3 Reviews)
2.0
SebastianA

Hi, I am very interested in your project, what do you want to do with the collected data? Store it in a DB / send it via mail? What is the formula to calculate the level? I am looking forward to hearing from you. More

$35 USD in 3 days
(1 Review)
0.8
sktechno2012

I can do it within 1 day

$35 USD in 1 day
(0 Reviews)
0.0
VoltaCode

This should be quite simple. I would use PHP, MySQL and jQuery to accomplish this. I have already started on a mock up version of such a form. Let me know if you would like to work with me, I am very excited to get More

$45 USD in 1 day
(0 Reviews)
0.0
richaahead1234

Please check your PMB for details

$200 USD in 3 days
(0 Reviews)
0.0
zrEsTnlKpOoL

Hello, We are freelance software developers. If you contact us, we can give a quote for your project and we can discuss the details. w w w . sol v e r . i o

$140 USD in 3 days
(0 Reviews)
0.0
aysn

Hi ... done similar work ... Please check PMB ...

$147 USD in 3 days
(0 Reviews)
0.0
sikanderkhan32

hey we r ready to do ur project .

$149 USD in 15 days
(0 Reviews)
0.0
Atlantasysm135

Hi, we are a web development company having are expert team of PHP/MySQL, Ajax, Jquery, HTML, CSS, Javascript, Java/J2EE, Magento, Ecommerce , Drupal, Vtiger CRM ,Codeignitor , WORDPRESS , Joomla . We assure you to de More

$200 USD in 5 days
(0 Reviews)
0.0
softomaniac2011

Dear client, 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 th More

$43 USD in 1 day
(2 Reviews)
0.0