In Progress

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.

Skills: Javascript, PHP

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About the Employer:
( 0 reviews ) Lancaster, United States

Project ID: #3609

Awarded to:


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

$30 USD in 3 days
(21 Reviews)

25 freelancers are bidding on average $53 for this job


view pm for details.

$100 USD in 5 days
(467 Reviews)

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

$30 USD in 3 days
(35 Reviews)

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

$20 USD in 7 days
(172 Reviews)

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 More

$85 USD in 6 days
(3 Reviews)

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

$30 USD in 5 days
(6 Reviews)

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 More

$30 USD in 2 days
(21 Reviews)

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 for more info on us, in More

$30 USD in 4 days
(3 Reviews)

Yes. It can be DONE.

$20 USD in 3 days
(14 Reviews)

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 More

$65 USD in 8 days
(1 Review)

please see pmb for details

$100 USD in 7 days
(1 Review)

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

$40 USD in 3 days
(1 Review)

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 More

$100 USD in 5 days
(0 Reviews)

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

$30 USD in 10 days
(0 Reviews)

Hello, We are a registered software development company based in Cochin,India. We are a team of highly qualified professionals with years of rich experience in web design and development technologies. Being a comp More

$30 USD in 1 day
(0 Reviews)

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 in 6 days
(0 Reviews)

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

$20 USD in 2 days
(0 Reviews)

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 More

$60 USD in 10 days
(0 Reviews)
dsiznx Smart design for Smart Companies HOW WE CAN MAKE A DIFFERENCE and ADD VALUE TO YOUR project, We work on a *** FREE *** MOCK UP (SAMPLE) DESIGN FOR YOUR SITE based on your specs, Please log into our site More

$100 USD in 11 days
(3 Reviews)

i can ready to do...

$50 USD in 2 days
(0 Reviews)

I would be happy to do the work for you. I assure you of professionalism at work and am sure that you would like this to be a long relationship. Thanks n regards.

$60 USD in 3 days
(0 Reviews)