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Build a Website

I am gathering 6-12 random people. I want to design a site to gather their data. What I want is:

-To give each person a unique code for them to login. Once they login, they give name, age, email, mailing address etc.

- I want to capture their Internet signature so that they can sign a Confidentiality Agreement online

- I want them to electronically sign another form that says they have no allergies to: food, shellfish, eggs, nuts etc.

- I want them to answer 5-15 questions. Some questions would be pull down but others would allow them to write.

-They would be allowed to login later, once I checked all above, to download information about my product. There would be a yes/no button for them to agree to attend the focus group session, in-person, and give them the address.

After I meet with them in person, they would log back in to give feedback about what they felt about the in-person session.

Skills: Graphic Design, HTML, PHP, Website Design

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About the Employer:
( 0 reviews ) cairo, Egypt

Project ID: #7873190

2 freelancers are bidding on average $27 for this job

asait1192

Hello sir, I am Asait from Skynet Global System ,Gujarat. We have team of inhouse team of 15 developers and we have delivered 200 projects within 1.5 year of time span. Our Team Skills: - - >Design : PSD to HTM More

$24 USD in 1 day
(14 Reviews)
4.8
aminefreelance

Hello Sir, I'm a web designer with over 4 years of exp. i can all web technologies html, css, jquery, JEE, what ever you want. Let's chat so i can have more clarity and discuss more. Regards. Amine.

$30 USD in 3 days
(1 Review)
0.0