Smart Contact Form / Modern style response design

Looking for a smart form to do the following.

There will be a series of yes and no question. If the user enters no a block of text will come up below the questions informing them on what they can do to answer the question yes.

Then they last 5 questions will require input fields for the answer.

When the user hits submit they will get an ajax style window informing them that the message has been submitted and they they click ok they will be redirect to a homepage.

The information submitted will then be e-mailed to a predetermined address. The sendmail process should be handled with PHP.

The form should be web view able in a desktop browser or mobile device and should have a modern fell to it.

Evner: Grafisk Design, HTML, PHP, Web Design

Se mere: web design modern style, smart input, question of web and graphic design, modern style web design, graphic design window, graphic design fields, fields of graphic design, fields in graphic design, contact form web design, block design web, smart it, smart web design, modern, php modern, modern 2014, redirect mobile desktop, sendmail ajax, redirect contact form, response form, web contact form, mobile redirect homepage, style form design, yes response, desktop style, last contact

Om arbejdsgiveren:
( 26 bedømmelser ) Westlake Village, United States

Projekt ID: #6041371

Tildelt til:


Hi, please find some of our recent work. [url removed, login to view], [url removed, login to view], [url removed, login to view], [url removed, login to view] We are a 3 years old offshore IT company working with web Flere

$20 USD på 1 dag
(1 bedømmelse)

8 freelancers are bidding on average $48 for this job


yes sir, this is possible and i would like to do it for you, we need to discus more. thank you!.....

$210 USD in 5 dage
(16 bedømmelser)

Hello, Your requirement is clear to me and I can do it efficiently. I want to implement my expertise and experience in your project. I have been developing websites for 5 years of experience in PHP, MySql, jQuery, Java Flere

$25 USD på 1 dag
(4 bedømmelser)

Hi There! I will be happy to work on this project for you. Thanks

$25 USD på 1 dag
(2 bedømmelser)

I understand your requirement. We are a web design and development team of freelance workers, having many years experience in industries with top companies in india. Individually We have experience in developing web so Flere

$30 USD in 2 dage
(1 bedømmelse)

Hi, I can do this within 24 hours as per your requirements with 100% satisfaction guarantee Thanks, Sourav Khunger

$20 USD på 1 dag
(0 bedømmelser)

Dear Sir, This is Bharat Dhiman Here from India, I'm a professional web designer and graphics designer. I have 4 Years experience in web designer and graphics design. I have excellent experience in HTML and CSS, PHP Flere

$25 USD på 1 dag
(0 bedømmelser)

A proposal has not yet been provided

$27 USD på 1 dag
(0 bedømmelser)