Завершен

Custom Form Build With Zapier Integration

I am looking to replace a current lead generation form on my current website.

For an example of what I am looking to replace, please see - https://hairtransplantdallastx.com.

Click on any one of the "consultation" buttons to get an idea of the function of what I am looking for.

**Three VERY IMPORTANT features and functions:**

- Form MUST have popup function/capability.

- Form MUST integrate with Zapier

- Form MUST be compatible with WordPress

- Form MUST come with a basic CRM to track all form submissions

Rather than the simple 4 questions I am asking now, I would like a multi-step form that displays the same way.

Here are the steps I would like to include:

1. Norwood classification (image selection)

- User will choose from 10 images of what their hair loss looks like

2. Are you on any hair loss medication or have you had a procedure in the past? (multiple selection)

- User will choose between a drop down menu and radio box options

3. Hair loss photo upload (optional for users)

4. How would you like to meet Dr. Smith? (single answer option)

- User will choose Virtual, In-Person or Phone consultation

5. Contact Information (three input fields)

- User will input Name, Phone and Email Address

6. Contact Preference (dropdown options)

- User will choose the best way to contact and the best time to contact

Навыки: PHP, WordPress, HTML, JavaScript, CSS

Показать больше: custom form database multiple emails php, aweber custom form css design video, custom seamonkey build, joomla community builder add user custom form, joomla custom form article submissionphp, outlook custom form, joomla article custom form, wordpress custom form plugin database integration email integration, custom form in wordpress with custom fields, laravel with react js - build twitter like real time web app, free form builder with payment integration, google form with paypal integration, free registration form with paypal integration, zapier integration with wrike, wordpress form builder with payment integration, acf upload image in front-end with custom form, zapier integration with github, more than one custom value accessor matches form control with unspecified name attribute, zapier integration with zoho creator

О работодателе:
( 28 отзыв(-а, -ов) ) Houston, United States

ID проекта: #29080583

Поручен:

rukshanlancer

Hi , How are you feeling today? I read your " Custom Form Build With Zapier Integration " and really interested in this job. I’m offering best quality and highest performance at lowest price. I have rich experiences Больше

$250 USD за 2 дней(-я)
(43 отзывов(-а))
6.0

19 фрилансеров(-а) готовы выполнить эту работу в среднем за $467

AwaisChaudhry

Hi, I have read the details I believe I can do this job. While I believe I have some queries which need to be clarified. For that I would request you to start the chat so we could clarify those. We can discuss the time Больше

$750 USD за 28 дней(-я)
(89 отзывов(-а))
8.0
einnovention

Hi There! I read your project of Custom Form Build With Zapier Integration I am in Top Freelancer and can do this in Professional way! I will use PHP JavaScript WordPress CSS HTML WAITING FOR YOU IN CHAT BOX N00r<…… Больше

$500 USD за 7 дней(-я)
(192 отзывов(-а))
7.3
kishanlalyadav

i m confident to help you for this job so let me help you .... If you work with me, you will get perfect result. please contact me so that i can start right now. please check my profile. https://www.freelancer.in/u/k Больше

$600 USD за 7 дней(-я)
(422 отзывов(-а))
7.2
stepanbohanov

⭐⭐⭐Zapier expert⭐⭐⭐ Hi, dear client. I hope u a being well. I've read your proposal carefully and am getting interested in your project. I will prove my ability by implementing your requirments. let's discuss about the Больше

$650 USD за 7 дней(-я)
(40 отзывов(-а))
5.8
webdroid

Hi Joseph M., how are things going in United States? We would love to build this application right according to your requirements. Apart from having hands-on experience in WordPress we also have a deep knowledge on ho Больше

$500 USD за 7 дней(-я)
(33 отзывов(-а))
5.8
(16 отзывов(-а))
5.5
Maskymlap2020

Hi, Thanks for your job posting, and I am interested in the project. I’m a Senior ⭐WordPress⭐ Developer with rich experience for 7+ years. In the meantime, I have successfully built Blog, Betting, Dating, Landing Page Больше

$500 USD за 7 дней(-я)
(15 отзывов(-а))
5.3
nizamfarhas

Hi There, How are you doing well? I am really interested in your project, " Custom Form Build With Zapier Integration ". I have rich experiences in PHP, HTML, CSS, JavaScript and WordPress Many thanks

$300 USD за 2 дней(-я)
(23 отзывов(-а))
5.5
HopeYourSuccess

HI there. I have read your description very carefully and I am sure I can make it perfectly as I specialize in wordpress for over 8 years. I am ready to get to it . Thanks, Donald.

$500 USD за 7 дней(-я)
(17 отзывов(-а))
4.8
WebThunder0

Hi There, I am a WordPress developer, skilled in PHP, WordPress, JavaScript, CSS and HTML I have thoroughly read your requirements and details of the project Custom Form Build With Zapier Integration After a one on Больше

$700 USD за 3 дней(-я)
(9 отзывов(-а))
4.4
Ridafarhat5

Hello, Wordpress is fine to build your landing page? What do you prefer WordPress or PHP to build your website? I have reviewed your project description and understood your project scope, would love to discuss your p Больше

$500 USD за 7 дней(-я)
(6 отзывов(-а))
4.3
vibhutitech

Hey!, I’ve carefully checked your requirements and really interested in this job. I’m awesome creative designer working at small-scale to large scale designs as a lead designer with U.S. and European teams. I have re Больше

$555 USD за 69 дней(-я)
(6 отзывов(-а))
4.3
yasirnaqv46

Hi There, I have read your requirements and yes I will complete this project in 5 days I AM WORDPRESS/PHP DEVELOPER HAVING VAST EXPERIENCE as well as I have a strong command in theme and plugin customization and I am Больше

$400 USD за 5 дней(-я)
(14 отзывов(-а))
3.7
margoleena

Hello, I have strong skills in WordPress, CRM development, PHP, MySQL, JavaScript etc. Ready to start immediately. I'm a full stack developer about 10 years and have the capability to build your project. Feel free to a Больше

$250 USD за 7 дней(-я)
(6 отзывов(-а))
3.5
ivanpipenkodev2

Thanks for your job posting!, I’ve read your job description carefully and really interested in your job. I'm Ivan having nine years of experience in Web development. I'm going to share some of my past works with you. Больше

$250 USD за 7 дней(-я)
(2 отзывов(-а))
2.0
Hamza2288

Hello there! Expert Developer here. I have read your needs and i can help you with your website with 100% quality results. I can start working on it right now. Kindly, send me a message in the inbox so we can discus Больше

$300 USD за 1 день
(0 отзывов(-а))
0.0
wpdeveloper01

Hello! As per the project Custom Form Build With Zapier Integration detail, you need a developer for work. I have great working experience in development. So i am perfectly fit for this job mentioned skills HTML, CSS Больше

$555 USD за 12 дней(-я)
(1 отзыв)
0.0
rightdev007

Hi, i have checked this your reference : [login to view URL] for your lead generation form replace I can help you for this project surely. Thanks.

$250 USD за 7 дней(-я)
(0 отзывов(-а))
0.0