Build a web page

It seems like a form to be created. So I can create this form having validations set . Waiting to discuss more.

Hello, I will finish it for you, contact form, please tell me in detail more then I can start right away

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Greetings! Note: I read the requirements and yes I can do this work! I have a higher level of expertise and 5+ years of experience in different projects related to web development. I have been worked for different projects and got a response from employers by getting awesome feedback. I read the project details and looking forward to chatting with you. Please let me talk through chat and share your further requirements so I will definitely work for you with 100% quality as well as on time! We will be more than happy to assist you and we can discuss your project details further!

Hey there! Just saw your post and thought I'd drop in. You need a professional developer to build a webpage with a form as per the attachment. I have a strong background working with Html, css, JS, etc. Building new websites and changing the existing ones is what I've been doing for about three years. Though I'm new here, I assure you that I have relevant expertise and experience to complete the task in time. Please checkout my profile. If you like what you see, let's chat. Kind Regards, Anuradha Suthar

 •  We are a group of fellow web developers doing the same kind of work as you needed for up to 3-4yrs.  •  We have grouped and formed this org for the same.  •  we split our work to make it more productive, minimalistic, and responsive which you can find in the milestone section.

Hello Sir/Mam, I believe I am fit for this project as I have developed a few webpages recently. I can easily build a webpage using full-stack web development tools. Your requirement is making a webpage displaying a form that takes in information regarding the current situation. I can deliver a form that is easy to use and understandable for the user. I can also add validations on the data that is to be stored to prevent wrong information from being stored. I ensure to meet the deadlines on the time given and full dedication to the task given. Thank you, Ishali Jadhav

I can complete this project in 1 day and I have knowledge about HTML, CSS, Javascript and little bit angular 2 Material. Right now i am learning php also. I will give my best to make this project best

Hi. I can design your responsible WEB page with a form with the fields contained in the file. You can also add a module where you can see the history of the answers on your form, I can think of adding some graphs to the questions with closed answers. I am a WEB developer with more than 6 years of experience.