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Dynamic Form Fields

I need a dynamic form handler/creator - not sure if that's the best name for it so let me describe what I need a bit further.

I want to create a feedback form that will start with some required fields e.g. name, address, e-mail etc, and 10 or so check boxes.

When the user checks one of the boxes additional form fields will automatically populate the page, so if they only select the first check box then only the first set of questions will appear on the page... If they they select for example the 3rd check box then the page will automatically refresh, whilst retaining any information already entered, and the third set of questions will be added.

I need to be able to define the check boxes and associated fields myself either through HTML or PHP (I am a real PHP novice but should be able to manage it). I also need full control of layout. I need to be able to install the script myself with minimal effort.

When the form is complete and the user clicks 'submit' I need the form to be sent via sendmail to me as well as a copy sent to the user's e-mail address they entered in the form - It would be nice if I could also append a short message to the start of the e-mail the user receives.

Finally I need the user to be redirected to a thank you page.

It doesn't matter to me if this is created from scratch or a series of pre-existing scripts are combined to create it. It also doesn't matter to me whether this form is handled through a MySQL database or JavaScript.

The budget available for this is unfortunately miniscule at only $20-30 but I plan on having some much bigger projects in the near future and will be looking to tap any relationships formed from this.

Kemahiran: JavaScript, PHP

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Tentang Majikan:
( 0 ulasan ) Lancaster, United States

ID Projek: #3609

Dianugerahkan kepada:


Will be with you until satisfied ! Am also interested in futur development ..

$30 USD dalam 3 hari
(21 Ulasan)

25 pekerja bebas membida secara purata $53 untuk pekerjaan ini


view pm for details.

$100 USD dalam 5 hari
(467 Ulasan)

Sir, we can do this, pls contact us via PM

$30 USD dalam 3 hari
(35 Ulasan)

Hello! I can make this using Javascript and I think that this is the easiest way of doing things.

$20 USD dalam 7 hari
(172 Ulasan)

Dear Sir/Madam! Hello!!! Thank you for your time reviewing our bid!! We have just gone through your requirement and we would like to inform you that OUR SPECIALISTS CAN HELP YOU WITH THIS PROJECT! though Viade Lagi

$85 USD dalam 6 hari
(3 Ulasan)

I can do the job. Let me know. Cheers, Skulled

$30 USD dalam 5 hari
(6 Ulasan)

hi i have 3yrs exp in php/mysql/linux/apache. Having over 4 years experience in IT field with 3 years of software development experience in using PHP,PERL (CGI),MYSQL MS-SQL on various platforms Using PHP for more Lagi

$30 USD dalam 2 hari
(21 Ulasan)

We can create a dynamic form for you, exactly to your specifications. However, because of your low budget, we have to ask for the majority of your payment in advance. Please see [login to view URL] for more info on us, in Lagi

$30 USD dalam 4 hari
(3 Ulasan)

Yes. It can be DONE.

$20 USD dalam 3 hari
(14 Ulasan)

I would be happy to do the required work for you. The form required is not so simple and you require complete administration and editing of it via web admin page so 65$ is my price. For all my references take a look at Lagi

$65 USD dalam 8 hari
(1 Ulasan)

please see pmb for details

$100 USD dalam 7 hari
(1 Ulasan)

I can complete this to your satisfaction. PM if you would like references/work history. Thanks

$40 USD dalam 3 hari
(1 Ulasan)

I have done many dynamic form and aslo application if u want i will giv u url of that thank you

$20 USD dalam 2 hari
(0 Ulasan)

Bangalore Yankees expects that the proposed project will be developed in a period of 06 days from the date when it receives an award for the project. Bangalore Yankees bids US$ 50

$50 USD dalam 6 hari
(0 Ulasan)

I have worked on a similar project. It is located here: [login to view URL] It is very basic, and needs some work, but it should be similar to what you need.

$30 USD dalam 10 hari
(0 Ulasan)

We provide you quality work as per our bid on your work that will be made to be upgradable in case you need some upgrades in future. We will always be available for upgrades. We will offer full assistance in Lagi

$100 USD dalam 5 hari
(0 Ulasan)

see [login to view URL] click on 'single item sales'. Be sure to click purchase. The extra fields can be hidden in the page and only presented as required. Thanks Rick

$50 USD dalam 2 hari
(0 Ulasan)

I have been working for 4 years on PHP and ASP sites. I offer dependable and fast solutions with complete support. Now I dont promise a cheap solution nor do I promise a fast delivery schedule but i do promise Lagi

$75 USD dalam 4 hari
(0 Ulasan)

Hello, I have wide area experience in open source technology like php/c++/linux/so files/fusebox AND WINDOW based ASP,COM,DCOM,MTS,VB,VC++,.NET,Flash Please forward me your mail ID so i can forward you project propos Lagi

$80 USD dalam 7 hari
(0 Ulasan)

i can ready to do...

$50 USD dalam 2 hari
(0 Ulasan)

Hi, I am Prakash, we (3 guys from New Delhi) have been in the serious web and customized software development business for the past 5 years, and providing quality and professional web and client/server solutions for Lagi

$60 USD dalam 10 hari
(0 Ulasan)