Create form in XHTML with JavaScript validation

Completed Posted Apr 3, 2009 Paid on delivery
Completed Paid on delivery

See the attached document. I need someone to build this form for me in XHTML. The following are requirements:

1. Code should be clean, plain XHTML. Table layout is ok as long as it's clean.

2. You do not need to create any design or CSS styles, however, similar looking elements should be given a class so they can be styled easily later (e.g. all text input boxes should have the same class).

3. Headings for each section should be <h4> tags.

4. All form fields need to have the name property set correctly. E.g. question 1 under the "Forehead" section could be named "forehead1".

5. Most of the elements will just need to be radio buttons, although you may use dropdown boxes for any of the questions with more than 3 responses if you like.

6. There should be a submit button at the bottom. The form should have simple JavaScript validation triggered onsubmit to make sure that every field has been filled out. The final question for "men only" should only be validated if the user has said that they are male. If the user has not filled out everything, they should get a popup telling them which fields to fill out.

I need the form built within 24 hours of project starting. Payment will be made by escrow and released when I have checked that the form meets all requirements. Please do not send me a template bid to apply to this project, and please show me at least one or two examples of forms you've made. If you know PHP, I may be able to give you some additional work on this once the HTML form in build.

JavaScript Website Design

Project ID: #412944

About the project

28 proposals Remote project Active Apr 4, 2009

Awarded to:

caladi

This can be done in the next several hours, please kindly check PM for our previous works and details I may ask, thanks.

$30 USD in 0 days
(1 Review)
1.0

28 freelancers are bidding on average $80 for this job

imszone

Hi, please see PM.

$120 USD in 1 day
(147 Reviews)
7.5
freeworks

Please check my PM

$100 USD in 0 days
(189 Reviews)
7.1
Teknowledge

Hi, Please check pmb

$55 USD in 1 day
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7.0
webedeveloper

I am expert on such work, ready to start, thanks.

$120 USD in 1 day
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6.9
ajaxdevman

Please Check PMB message.

$50 USD in 1 day
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6.6
tejinder1985

Lets Start Check PM

$40 USD in 2 days
(63 Reviews)
6.1
php4world

Hello! Please check your PMB.

$99 USD in 0 days
(78 Reviews)
6.0
snowwolf

check your pm for my xhtml work

$80 USD in 1 day
(32 Reviews)
5.5
sadid

I can complete your work with in 24 hours...

$150 USD in 0 days
(21 Reviews)
4.8
jamalazza

check your pm

$60 USD in 1 day
(23 Reviews)
5.0
creative7

let's start...thanks!!!

$111 USD in 1 day
(25 Reviews)
4.8
mstdev

Hi XHTML PHP EXPERT HERE PLEASE CHECK THE PM FOR MORE DETAILS. thanks NEEL

$80 USD in 2 days
(21 Reviews)
4.8
ranacseruet

Hi, i am ready to start. Thanks

$90 USD in 1 day
(24 Reviews)
4.5
agriz

Hi, Please check PM

$50 USD in 1 day
(29 Reviews)
4.3
kudretserin

Hi, Please see PM, Regards

$65 USD in 0 days
(24 Reviews)
3.7
primetechnosoln

Hi, i have gone through the documents and i can do it in hours, i'm looking for some great reviews and long-term relationship with you so please do me a favor and i promise i will give it back on time, I assure al More

$50 USD in 1 day
(5 Reviews)
3.6
shevkorn

I would like work with you in this project. I'm available and ready to start right away. Regards.

$100 USD in 1 day
(6 Reviews)
3.3
ByteStrikersSoft

Lets Start working on it, I can do this job in maximum 7 hours.

$45 USD in 0 days
(2 Reviews)
3.2
avantegrate

Hi, please check PMB for details.

$50 USD in 1 day
(1 Review)
2.0
worksmartest

Hi reply back for more clarifications..tomorrow we can start documentation.. looking forward for ur positive reply

$150 USD in 5 days
(0 Reviews)
0.0