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Create form in wordpress

Hi,

I currently have a form on my site but it is no longer working properly, i want someone to build me an exact same form like this : [url removed, login to view] with same fields.

For the questions with "Yes" or "no", if someone chooses "yes" as their response then a new box text box should appear where they can enter some extra text to explain.

When submitted, the form should be mailed to clients email address.

I want the design to be exactly the same.

Skills: HTML, HTML5, MySQL, PHP, Software Testing

See more: create simple wordpress form, wordpress plugin create search form, wordpress form create query external database, wordpress plugins form create, wordpress users create form, wordpress themes create modify, wordpress form file upload, pdf form create net, form create ics file, wordpress plugin create snapshots individual posts

About the Employer:
( 13 reviews ) stanmore., United Kingdom

Project ID: #8129694

28 freelancers are bidding on average $32 for this job

rajeshsonisl

Hello! With 98% to 99% completion rate, 800+ successfully completed projects, and a 5.00 reputation (maximum possible, 5.0) (Yes, not even 4.99 average rating, can be verified on my profile page [login to view URL] More

$79 USD in 1 day
(626 Reviews)
7.7
softsolution2000

A proposal has not yet been provided

$54 USD in 1 day
(188 Reviews)
7.7
FASTGuru

Dear Sir/Mam! I've an extensive experience in Web Development including Back-End : PHP, JAVA/JSP Databases : MySQL, Oracle, PostgreSQL Front-End : JavaScript/jQuery, JSON, AJAX, CSS3. HTML5 I can fix your issu More

$22 USD in 0 days
(112 Reviews)
7.5
fastworkontime1

Hi There, Kindly have a look at my previous work samples: WordPress ========================= [login to view URL] [login to view URL] [login to view URL] [login to view URL] http://shop More

$30 USD in 1 day
(187 Reviews)
7.2
ssahilsl

Hi, We have gone through your requirement, understood and READY to Start right now!!! Hire our best designers, Custom Design, Responsive/Mobile Friendly and WordPress, PHP and Joomla coders. We will provide you quality More

$54 USD in 1 day
(159 Reviews)
7.2
graphicain

We are a team of website development. We are expert in Wordpress as well as all type of open source development. Please see some of our previous works below. [login to view URL] [login to view URL] http://w More

$34 USD in 2 days
(115 Reviews)
6.5
kishanlalyadav

HI SIR AWARD ME RIGHT NOW I M 100% CONFIDENT FOR THIS PROJECT!!! I am ready to start this immediately. I am extremely eager and ready to go. I am all of the following; attentive, detailed, creative, dedicated, efficie More

$35 USD in 1 day
(231 Reviews)
6.4
AppXonedotCom

A proposal has not yet been provided

$24 USD in 1 day
(32 Reviews)
6.3
Friends4it

Ready to start immediately.. Please take a look on our strong portfolio. [login to view URL] and [login to view URL]

$30 USD in 0 days
(181 Reviews)
6.5
eplanetsoftindia

We can create this form in wordpress website for you at very low cost as we have a team experienced developers. We want to have a long term relation with clients that's why working at very good prices. Hope you will gi More

$30 USD in 1 day
(82 Reviews)
6.2
angelmiks2007

Hi There, I've read through your instructions and everything is clear to me. However the link you provided does not seem to be working on my end. It redirects me to [login to view URL] More

$30 USD in 1 day
(44 Reviews)
6.0
ajayceo1985

Hi There, Thank you for this wonderful opportunity:) I have read your job post and I am very much interested to assist you. I believe my abilities would be perfect for your venture.I have 4+years of experienc More

$33 USD in 1 day
(61 Reviews)
6.2
junkyfunky

Hello, I've read your project description and I want to let u know that I'm an experienced Web developer and I can Develop a Similar Form just like [login to view URL] in Wordpress for u as per your all requiremen More

$24 USD in 1 day
(30 Reviews)
5.0
dreamzlive

Hi, I seen your requirement and I seen that you posted the project again with additional requirement. I can develop and design a for you as per your requirement. I can start work now and can deliver it today. Ca More

$30 USD in 1 day
(16 Reviews)
4.5
willyamz13

Hi i'd like to work with you! I am a fulltime individual freelancer. If you are interested kindly contact me here! Thanks! Check out my website and some websites that i made :) [login to view URL] http://www.7i More

$20 USD in 1 day
(19 Reviews)
4.1
amitnindroda

Hi, I hope you are well. I'm Amit. Thanks for forwarding details to allow me send proposal. As an established Experience, I am focused on quality, reliability and cost, driving factors for customer satisfaction and More

$25 USD in 2 days
(17 Reviews)
3.9
bestworkontime9

A proposal has not yet been provided

$31 USD in 1 day
(14 Reviews)
4.0
s4ittech

We have been in this industry for 2 years and such jobs are our daily practice. We are a team of professionals including experienced analysts, designers, project managers, developers and QA people having great exper More

$25 USD in 1 day
(3 Reviews)
3.5
DextersSEO

Hello Warm Greetings! I have gone through your requirement, and it would be immense pleasure to work with your project. I am an out of box thinker and always prefer modern and elegant design to increase the visit More

$30 USD in 1 day
(10 Reviews)
3.7
waleedsultan755

I am a creative web designer and front-end developer with Wordpress, XHTML, CSS, Java Script,Twitter Bootstrap , Ajax, Photoshop, Advance Php and [login to view URL] core ability lies in crafting custom websites using open sourc More

$20 USD in 1 day
(16 Reviews)
3.7