Create an online valid form from an A4 document

In Progress Posted Aug 11, 2014 Paid on delivery
In Progress Paid on delivery

I have a Word document containing a questionnaire.

I would like this word document to be created into a webform so the users enter all the details and we get an email with the answers on that form

The form next to be in line with the current design of the website.

The website the form will be on is [login to view URL]

Any questions please ask it should be a quick job

Also all the form needs to be validated so users can't miss out some questions as well as validation on things like email addresses and phone numbers

Electronic Forms HTML HTML5 jQuery / Prototype PHP

Project ID: #6309341

About the project

13 proposals Remote project Active Aug 11, 2014

13 freelancers are bidding on average £92 for this job

bhaveshkhatarani

Hello, Ready to work with. Please discuss about the work so i can have clear idea about your full requirement and I can submit you ASAP. Thanks, Bhavesh.

£55 GBP in 1 day
(86 Reviews)
7.0
optimizmo

Hello, I can create the questionnaire form for you, which will match your current design and the rest of your requirements. It will be php-handled, spam-protected, have ajax-based validation and in all of its aspects m More

£100 GBP in 2 days
(34 Reviews)
5.3
phoneapps

yes friend i will complete your online form with quality work and complete within in given time Thanks I will start work immediately and Update you on daily basis. Hope a good news from your side

£50 GBP in 3 days
(33 Reviews)
4.6
ashu1459

Hello, May I know how many pages and fields will be there for the form. And will the form have fields that are dependent on answers or not? Thanks

£100 GBP in 1 day
(29 Reviews)
4.4
amrelngm

Your job is very easy I can make your form within two hours. it could be in html or php regards , Amr Mero

£66 GBP in 1 day
(1 Review)
3.2
chandanghosh

A proposal has not yet been provided

£150 GBP in 3 days
(3 Reviews)
2.3
akkanda

Hi, Zaxedge Technology offers business development and strategy, technological applications maintenance, and outsourcing solutions. We are team of 14 experienced developers and designers which are dedicated to p More

£150 GBP in 3 days
(3 Reviews)
1.3
ashley1994

Hello :) I may have no ratings but that's just because I'm new. I'm looking for work and trying to offer the cheapest prices in order to get a good customer history. I would love the opportunity to possible work More

£23 GBP in 0 days
(1 Review)
0.4
moshiurmunna

Hello, This is Moshiur and it would be my pleasure to do this job. I am expert in HTML and Joomla and other related language to develop website. I also work in Adobe Dreamweaver and can do this job within the short More

£77 GBP in 3 days
(0 Reviews)
0.0
GlocalInfo

A proposal has not yet been provided

£142 GBP in 3 days
(0 Reviews)
0.0