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Customer form

$250-750 USD

Closed
Posted over 9 years ago

$250-750 USD

Paid on delivery
Hi I need to create a form to send to my clients. Ideally it will be an online form but will entertain other options. My aim is to gain information from them on industry sectors they work in, hobbies etc which I can use to write articles about. So I would need a multiple choice type form, with sub categories. I imagine it would be similar to filling out an online CV form. Is this something you can do?
Project ID: 6579410

About the project

29 proposals
Remote project
Active 9 yrs ago

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29 freelancers are bidding on average $384 USD for this job
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Let's discuss over freelancer Personal Message Box for the proper estimation of cost and time. I am myself doing programming so you will directly work with one person and that's me. No mediators. No managers. No subcontractors. see my recent work for the technical expertise along with reviews & feedback on my profile page.
$773 USD in 10 days
5.0 (177 reviews)
9.4
9.4
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We are a team of designers and developers with expertise and experience in Web designing, HTML, CSS, PHP, AJAX, JQuery, XML, Wordpress, Bootstrap, CodeIgniter and MySql. We have developed many custom sites and applications of varied extents and complexity. The work includes coding of many forms of varied extents and complexity. I have read the overview and I am confident of delivering well. I would like to see the form (fields) - maybe as a word document. You have mentioned that you would like your clients to fill it up - how do we ensure that only clients submit the form? Will there be need for client login etc.? Also once submitted, will the data be emailed to you or saved in database for you to view from admin interface? Lets discuss the finer details - this will help me to assess scope of work precisely. I will revise / confirm my bid accordingly. Detailed specifications and inputs will also help me to make an informed commitment and deliver as required. I ensure a very thorough job and also support if you need changes / enhancements in future. I look forward to hearing from you and working on the project.
$263 USD in 3 days
4.9 (1019 reviews)
9.1
9.1
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Let me know more details about the project and I can discuss further about the project details .
$315 USD in 10 days
4.9 (152 reviews)
7.5
7.5
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hi, i can help you with this, can you please send me the list of informations you wanna collect from your clients? also can you please specify if you already have a website or you want to create a new one for the form to be accessed on it. please note that based on the details you provide, this bid may be adjusted best regards
$526 USD in 3 days
5.0 (150 reviews)
7.0
7.0
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If you want a quality site for a fair price contact me! Custom sites, all programming languages and database types. Sites include administrative back end systems. All bids and durations are just an estimate until you contact me.
$526 USD in 10 days
5.0 (35 reviews)
7.1
7.1
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Hi, I looked your posting and I am very much interested to work with you ...I am an India based software professional providing a range of IT services and solutions that address the technology needs of your company in a variety of vertical business segments. I have more than 8 years of expertise in Bootstrap, PHP, MySQL, Apache Solr, CouchDB, HTML, CSS, SEO, Smarty, AJAX, jQuery, GoogleMaps, OpenCart, Magento and customized ecommerce based projects as well as most of the payment gateways and many other Open Source Technologies and frameworks, CRON jobs etc. Key points why you should consider me for your work - 1. First of all, I am working independently as freelancer... so no restrictions on working hours 2. Always discuss the project deeply before start so that the development would be fast and on-time. 3. Timing: I am online 8-10 hours daily from 9:30 AM to 8.00 PM (IST). 4. Prompt reply through Email or Skype, Gtalk. 5. Having a staging server to show the development/updates to client (if required). 6. Having a high speed internet 7. Development options : per hour, per week, per month, per project. Looking forward for an positive response and long term business. Nand
$316 USD in 4 days
4.8 (130 reviews)
6.6
6.6
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Hi, I am very interested working on your project: "Customer form". As implementation proposal, I am offering a web form developed according to your design provided and structrue My 8+ years background in: - database development(MySQL, PostgreSQL, MSSQL, Informix, NoSQL etc); - server side programming(php, C#, C++, Java etc) ; - client side programming and design(HTML/HTML5, CSS, JavaScript, JQuery, Ajax etc); - multiple web frameworks(Wordpress, Symfony, Drupal, CodeIgniter, PrestaShop etc), - Google App, Web Services, Mobile App, Amazon App ; - software testing - email management on large scale applications(with complete services on architecture, design, implementation, customization) make me very confident that we can have a successful collaboration. I suggest we start as soon as possible by sending me all the necessary technical information and agree on the final details Thank you! Adi Coman
$250 USD in 10 days
5.0 (67 reviews)
6.0
6.0
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I am an expert web developer with 8+ years of developing dynamic web applications and websites. I have experience in PHP, MySQL, Ajax, Javascript etc. You can see feedback against my profile they are always awesome. I am able to understand and visualize what you are looking for.
$400 USD in 10 days
5.0 (73 reviews)
6.0
6.0
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Hi sir, Please provide the detail requirement first. Can deliver this web application with the specified requirement. I am a master of php more than 11 years now. Already expertize in codeigniter with database like DB2,MYSQL,ORACLE. PM me to getting touch
$250 USD in 12 days
4.9 (56 reviews)
5.8
5.8
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Hi I'm the creator of the website, 10 years experience, I would be very happy to create your form, I can create your form nows
$263 USD in 1 day
4.6 (51 reviews)
5.2
5.2
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Hi , I Can able to do the system you wants. I have done this kind of system several times. It is a form which is sent by you to the user and user will fill out the form and details will comeback to you. It is simply a lead form from where you will gather information from the user. I will provide the 3 design concepts of the form . After that i will do the HTML coding of the Form. And Finally i will develop a Administrative Section from where you will able to see the records or data coming through the Form. You can able to do anything from there means you can able to view , edit, delete the rows. Also i will provide you a system so you can able to download all data in csv formatted file. I am ready to start. waiting for your response.. Thank You, Sudip
$250 USD in 4 days
5.0 (9 reviews)
4.9
4.9
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let's do it now I will do it as per your requirements I have more than 4 years of exp in core php and mysql will give you best services thank you
$250 USD in 3 days
5.0 (46 reviews)
4.7
4.7
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Hello Sir It's an easy job for me.. if you are really worried about the Quality, then you should contact with me.. I have team of 15+ professionals.. we are working on this field for a long long time.. Please contact with me for more discussion.. we are online 24 hrs!!
$250 USD in 3 days
5.0 (11 reviews)
4.2
4.2
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Dear employer, I already have that form. I coded it few months ago, just need to edit it depending on your needs. Please contact me for additional information. Best regards, Alex
$250 USD in 10 days
5.0 (15 reviews)
3.7
3.7
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Hello Sir/Ma'am, My name is Sandeep Rawat, having 11+ years of experience in Software development, Application Management, Project Management etc. We have expert team of Mobile application development, Web portal development, static and dynamic website development, Customize application development, eCommerce etc. Technologies Worked on: .Net/C#/WPF/Asp.Net/SQL Server/Crystal Reports/Javascript/JQuery/Json/XML etc PHP, Joomla, Magento, Zend, Droopal etc Static web site, Wordpress, html etc Android, IOS etc What I understand is you need a PHP website with one page having some questionnaire and details to filled in form. Please share your requirement in detail, I would like to discuss the requirement in some more details. Thanks& Regards Sandeep Rawat
$750 USD in 15 days
5.0 (15 reviews)
3.9
3.9
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Hi there, So a fill out form for which you supply the questions. Option 1 (semi-digital): I think a editable PDF could do the trick. You can send the empty PDF to them and ask them to sent it back filled out. When they send the form back you will have to take over the information. You upload it to a PHP based system and it will put it in the database. Option 2 (fully digital): An online form with the questions, and a database to store it. The client will login with their email address or other unique code and fill out the form. It is stored in the database right away. Next to this you will need to have a overview of the answers, and maybe some statistics? Option 1 and 2 both take the same amount of time to implement, if you want both it will take one half of the total time more (and the offer as well). I am a very experienced PHP and MySQL developer, I also can create and read digital PDF in PHP. Let me know if I can do this for you. Best regards, Marty
$444 USD in 7 days
5.0 (4 reviews)
3.8
3.8
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I am having more than 7 years experience of working as a web developer and having a great exposure of website Development in PHP, MySQL and Open Source Technologies like worddpress, oscommerce, zencart, Magento etc. I have developed many projects using MVC Framework like Zend,Smarty,CodeIgniter and CakePHP.I believe in quality and client's satisfactions.
$250 USD in 4 days
4.9 (14 reviews)
3.5
3.5
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Hi, We completely understand your project and are very much interested in working on this. We are experts team that finish many big project like this before. We have good members, so we sure will make you happy with our work. Please check PM for a better understanding about us and our work. Looking forward to hear from you. Thanks,
$250 USD in 5 days
4.6 (3 reviews)
3.2
3.2
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Hello, I have gone through your requirement you have mentioned in your project details and assuring you that I will do the work by putting the excellency of my 4 yr experience. I am ready to start work...
$250 USD in 5 days
5.0 (1 review)
0.6
0.6
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A proposal has not yet been provided
$555 USD in 10 days
0.0 (0 reviews)
0.0
0.0

About the client

Flag of INDONESIA
Pasuruan, Indonesia
0.0
0
Member since Sep 9, 2014

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