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Custom form field programming

I want to ask a consumer 3-5 questions and based on their yes or no response be able to email that data. Need to create a database and the ability to add/remove/edit the questions and where the data gets sent. Basically it is a very small co registration path. The consumer will be trying to access a page in which they must first answer these questions in order to get to the page. I would like the 'form' to carry a hidden field so in the future I can use this same form on a sister site and have it still write to the same database. I must also be able to pull simple reports against the database.

Need this done in 24 hours....

Kỹ năng: Lập trình C, Visual Basic

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Về Bên Thuê:
( 1 nhận xét ) Woodbury, United States

Mã Dự Án: #1037543

6 freelancer đang chào giá trung bình $143 cho công việc này

gelo76

Please check PM

$150 USD trong 1 ngày
(7 Đánh Giá)
4.2
aisha2010

Web developer expert here. Please PM for more details.

$150 USD trong 1 ngày
(1 Đánh Giá)
2.8
pgi925

hi i think i can do this. Tell me when you decided. regards

$150 USD trong 1 ngày
(0 Đánh Giá)
0.0
thenomader

Dear sir I can help you, hope to read you soon, best regards

$60 USD trong 1 ngày
(0 Đánh Giá)
0.0
smbakhtiar

Ready to start now.

$100 USD trong 1 ngày
(0 Đánh Giá)
0.0
gururatnesh

i can complete this project with in 12 hours but i have taken a extra time. i have completed a lot of these kind of projects .i am waiting your response.

$249 USD trong 1 ngày
(0 Đánh Giá)
0.0