Change a form on my website

I have a website called When someone goes to my website, they can click on a button labeled "Search" or "Tell Us About Your Ex". If the person clicks the button labeled "Tell Us About Your Ex" a form comes up for the person to answer 10 questions, then type what they want in a blank box below the questions. One of the questions that is on the form asks, What State Your Ex Lives In. There is a drop down box attached to it with 50 U.S. states in it. I am wanting to change that question to "What Country Your Ex Lives In", with a drop down box of all the countries. I also want a blank box below that asking What State, Providence or Territory Your Ex Lives In". Someone could type their answer into that box or select from a drop down box. Whichever is easier.

Whoever bids on this job will need to be familiar with PHP coding and Wordpress. I attempted to change this myself through Bold Grid on Wordpress but ran into an issue. When I changed the form and done a test, everything worked good. When I tried to search a name that was entered using the old form, the results were mixed up and answers were on the wrong questions. I returned the form back to its original design and everything went back to normal, so I'm thinking that some coding may need to be done to correct this issue.

Skills: CSS, HTML, PHP, Website Design, WordPress

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About the Employer:
( 2 reviews ) Clarksville, United States

Project ID: #17892683

Awarded to:


Hi I have red your project and I can make the changes you want to the form please contact me to discuss.

$30 USD in 1 day
(19 Reviews)

60 freelancers are bidding on average $129 for this job


Hi Reviewed your website. Please interact with me. I am a professional WordPress/PHP Developer” have a rich exposure of 5+ years in this field and have developed more than enough websites (approx. 300+) from scrat More

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Hi, You don't need another plugin to customize or fix that issue. Its simply can be done using custom coding. Please let me know for the form if you are using any form plugin like gravity or ninja etc. OUR RECEN More

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$140 USD in 1 day
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//** WE ARE EXPERT IN WORDPRESS AND CAN HANDLE YOUR REQUIREMENTS **// More then 5+ years of experience in Development . Also kindly check our profile we have done over 250 project here on freelancer so very much rel More

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$120 USD in 2 days
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I can modify the questions as required. I am Shopify/ WordPress/WooCommerce PRO with 7+ years experience. I can handle anything from theme or plugin customization to development. I can complete all the task with More

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Hello Sir, I am an experienced full stack web master, working with joomla , Word press, shopify, big commerce, prestashop, volusion and for over 9 years now. I have knowledge of HTML5, CSS3, jQuery, Angularjs2, PHP More

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I can change the form as needed. I have gone through the project description . .............................

$32 USD in 3 days
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Hello, I read your project and would like to tell you that our team is perfect for this project. We can change the form of your website as per your requirement. So lets discuss the price and timeline for the project More

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We are a Germany based software company. Founded in February 2016, our organization has a team of 10-15 people. We have web developers and 3D designers with multiple years of experience and high academic careers. We ar More

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