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Create Webform from a word document

$15-25 USD / hour

Abgeschlossen
Veröffentlicht vor mehr als 8 Jahren

$15-25 USD / hour

I am needing a webform created to be used in a medical setting. Patients will fill out a lengthy questionnaire online vs manually in clinic. For example: REVIEW OF SYMPTOMS: Please mark the box and/or circle any persistent symptoms you have had in the past few months. Read through every section and check "no problems· if none of the symptoms apply to you. List other concerns above. A short sample of document is attached General _ Unexplained weight loss I gain _ Unexplained fatigue I weakness _ Fall asleep during day when sitting _ Fever, chills _ No problems
Projekt-ID: 8221415

Über das Projekt

11 Vorschläge
Remote Projekt
Aktiv vor 9 Jahren

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I am highly interested in this project and will help you achieve results above and beyond you expectation with a quick turnaround...Hope to achieve next positive feedback from you!!! Please check you inbox for more info.
$21 USD in 5 Tagen
4,9 (56 Bewertungen)
6,6
6,6
11 Freelancer bieten im Durchschnitt $18 USD/Stunde für diesen Auftrag
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Hi, Experienced Web Professional with years of experience in PHP/MySQL. I have created a few Web Forms related to Medical Questionnaires also, which involved multi-step forms with Radio Buttons (single choice answers), Checkboxes (Multiple choice), etc. I can show a simple demo on my server if you require. Looking forward to hearing from you and to discuss further. Thanks & Regards, Sid
$18 USD in 5 Tagen
4,9 (89 Bewertungen)
6,3
6,3
Avatar des Nutzers
Hello! My Ranking is Top 50th on freelancer. I am interest your project and I hope to work with you. I have enough experience with WEB developing for 5+ years. *******I have downloaded atttached doc....... I will do this customer form for you*************** I will complete your project perfectly in your deadline. I am ready to start the work, and it will be a great pleasure for me to work for you. Please get in touch. Looking forward to hear from you. Best Regards! Shankar
$20 USD in 5 Tagen
4,7 (36 Bewertungen)
5,8
5,8
Avatar des Nutzers
Hi, I'm an experienced web developer. I have more than 5 year experience in web development. I can easily develop this form for you. I can start work on your project right now. This project will not take more than 2-3 hours.
$15 USD in 5 Tagen
4,9 (15 Bewertungen)
4,6
4,6
Avatar des Nutzers
Experienced Web developer here, can provide exactly what you need, do we need only the forms or we need to create a back-end for that too? do we need to send mail or save it in database, the response from visitors?? Thanks
$25 USD in 6 Tagen
4,8 (34 Bewertungen)
4,7
4,7
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A proposal has not yet been provided
$21 USD in 5 Tagen
4,7 (3 Bewertungen)
4,5
4,5
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Hi, I have very good experience with such kinds of from making. At first i want to make one page of ur form and if u like it then u can hire me for this job Thanks Masum
$21 USD in 5 Tagen
5,0 (3 Bewertungen)
2,0
2,0
Avatar des Nutzers
I have several years of experience when it comes to programming. Making this document into a web form will be very easy for me. Please contact me with more details about what you'd like done, and I'm sure I'll give you the satisfaction you deserve.
$15 USD in 5 Tagen
0,0 (0 Bewertungen)
0,0
0,0
Avatar des Nutzers
I have more than 7 years of global experience and we are prepared to take on any project, no matter how complex or simple. Our mission is to provide the best back offices solutions available in the market today. I approach every project and every client with dedicated attention, and carefully analyze the needs of the client organization and provide a solution that is designed to meet client expectations and requirements in a timely, affordable fashion. You will not find another service provider that is more flexible or responsive! my Data Entry services are efficient and accurate and i am dedicated to achieving the best results
$16 USD in 5 Tagen
0,0 (0 Bewertungen)
0,0
0,0

Über den Kunden

Flagge von UNITED STATES
Dallas, United States
5,0
2
Zahlungsmethode verifiziert
Mitglied seit Juli 9, 2015

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