Require a simple online form to be created.
Customer details such as Name, Address, Phone Numbers, Email, DOB etc...
Will then ask the customer such questions. Such medical conditions? The answers will be in a tick box form.
We are trying to convert our Remedial Massage paper based form to an online form.
The form data will need to go into a MySQL database. Also require a button on the registration for to export all the data from the MySQL database into a locally stored CSV file.
The form will be used by inhouse personnel and not for the public. So simple and doesn't have to look fancy, purely a form to collect data.
Will provide a scanned copy of the current for to the person who wins the bidding.
Very simplre requirements, but we need it ASAP.
Cheers and good luck.
29 freelancers are bidding on average $62 for this job
Hi, I am Expert in OpenSource Development. I have 5+ Experience in PHP. I assure you for expectations and the responsibilities of Job,Can start right away! Please see the reviews. Kindly check PM.