Contest or Survey Online HTML 5 Form


This form should be done in html5.

It will be compatible with mobile and desktop computers.

The design of it doesn't be neccesary that looks like this one, it could be improved in appareance, if you have any

fancy template that looks like this one, go ahead and use it.

It must use any fancy script like jqueary, ajax or another that could do the jump thing on every question, I don't want it jump each question as a new page with difeferent url.

Any script used should be compatible with mobiles devices.

The data of each question answered by the user must be

captured in a database, it could be saved as microsoft

excel file or CSV file.

In the example are 4 screens, sometimes I could use 3 or

5 pages, so, the design should be friendly to change.

I got knowlodge of html, so I can deal with it.o

Please add the title in tag titles inside the html design

or whatever programing language you use to be easy when

I want to make any changes.

In the email capture screen is a must that the email of the

user would be recorded in 2 places: the database file and the Aweber form.

Please show any examples of any kind of job you should have that looks like this one that I am requesting.

Thank you

Skills: AJAX, HTML5, jQuery / Prototype, Mobile Phone, Website Design

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Project ID: #5213738

20 freelancers are bidding on average $201 for this job


**iPHONE ANDROID MASTERS** Hi We have checked your given description in detail and got the idea about your requirement. We will provide you UNIQUE and VERY ATTRACTIVE application design with WEB 2.0 standar More

$285 USD in 18 days
(269 Reviews)

Hi, I like to help you get this done. I can develop exactly what you need. best quality assured. Thanks

$257 USD in 7 days
(269 Reviews)

HI, Please consider the bid for building the 4 page html 5 survey form. We will code it with comments so that you can modify it with your knowledge to add/change questions/answers etc. Ready to get started and More

$421 USD in 5 days
(55 Reviews)

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$180 USD in 3 days
(62 Reviews)

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$210 USD in 5 days
(115 Reviews)

Hello Jgav its our pleasure to create responsive as we are experts of it now please see our pioir work as you have asked so then Just check us here first then we can discuss it more we are group of professionals and We More

$200 USD in 7 days
(41 Reviews)

Dear client, We are ready to start the work right now.Our technical team is available and waiting for your reply.Your requirements are crystal clear and surely we can do this 100% .We have 5++ years expert t More

$188 USD in 2 days
(66 Reviews)

Greeting from Lucent Innovation...!!!! Hello there, I am looking forward to connect over skype to get details quickly you can have a look on this form (its not responsive) More

$123 USD in 3 days
(21 Reviews)

Ready to start "NOW " Give me chance to prove my ability and also quality work i am waiting your positive replay from your side i am highly interested to work with you

$164 USD in 3 days
(54 Reviews)

Hi, Read your requirements in detail. I have 5+ years experience in mobile|social network programming. Communication is the key of success of every projects. Iím available for communication 15+ hours a day. I wil More

$257 USD in 7 days
(6 Reviews)

hello sir, we are ready to start your work Please look at our portfolio to know more about us : http://what More

$185 USD in 7 days
(16 Reviews)

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$144 USD in 15 days
(6 Reviews)

Hi, I can do this. I do not have similar project but i have over 6+ years of experience in web-programming including front end development plus backend development. My prime focus is to utilize my knowledge and s More

$111 USD in 7 days
(2 Reviews)

Hi, Based on your requirement. attached snapshot, here is our understanding, plan and queries. You are looking at creating a cross platform mobile hybrid application that can be accessed through a URL. This app w More

$206 USD in 7 days
(7 Reviews)

Hi Jegav, We are an organisation having expertise on mobile application development. Please check the url mentioned below We are product base company,now we are ready to start provid More

$155 USD in 3 days
(0 Reviews)

Dear Sir Hi, Greetings of the day and thanks for sharing these details and allowing me to bid on this assignment. yes we have similar experience and can deliver u as u have mentioned in your requirements. we More

$144 USD in 3 days
(0 Reviews)

Hello, I am a good web app developer. I have enough experience of HTML5, CSS3, JQUERY, BOOTSTRAP. I am familiar fancy plugin. I have ever developed responsive site. Please kindly look at my working url. https More

$185 USD in 3 days
(0 Reviews)

Dear sir/Madam I hope you are doing well We are a 3 year old Delhi based IT company having very good expertise in Mobile website development ,Android/Iphone and webportals. We have successfully developed more t More

$166 USD in 7 days
(0 Reviews)

I could be useful to you with my knowledge and experience .My work is produced quickly and of the best quality.

$155 USD in 15 days
(0 Reviews)

Dear Sir we have studied the requirements and can deliver the same We are a close-knit team of young and energetic professionals cum entrepreneurs from various backgrounds. We believe in what we do and we do what we More

$222 USD in 12 days
(1 Review)