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"Quiz" or "Decider" for Web Page - Javascript, HTML, PHP ?

I require one page on my website designed to the following specifications:

-I need a "question" and "answer" format that will result in a product being chosen for the user, based on their answers to the questions.

-This can be built in HTML, Javascript, PHP, or really any format that is universal.

-The questions do not necessarily have to all be displayed at once; that is, one could be answered and the next one appear.

-If no answers are chosen and the button is pressed, an error would be returned. Each question requires at least one answer.

-I am dealing with a fixed height of 840px and a width of 995px.

E.g. of questions:

1) Claim Form of Interest:

[ ] HCFA-1500 [ ] UB-04 [ ] American Dental Association [ ] UCF Pharmacy <----Checkboxes

2) Capability:

[ ] Print (& Mail) Claims

[ ] Submit E-Claims (Electronically) <----Checkboxes

2a) [<--This appears if 'Submit E-Claims' above is checked]

Average Monthly Volume of Claims:

( ) 1 to 150

( ) Greater than 150

3) Operating System:

[ ] Windows

[ ] Mac (Apple)

[ Recommend Product ] < -- Button

~~~~~~

The output would be in the following format:

Recommended Product:

{Insert Software Image}

{Insert Product Title}

{Insert Short Product Description}

[Product Page] [ Buy Now ] [ Try Now ]

These buttons would always "look" the same, but they would change dynamically based on the choices to the questions.

~~~~~

The results would be based on:

Claim Form of Interest = HCFA-1500

Capability = Print (& Mail) Claims

OS = Windows

Product Chosen: HCFA-1500 Fill & Print NPI

Claim Form of Interest = UB-04

Capability = Print (& Mail) Claims

OS = Windows

Product Chosen: UB-04 Fill & Print NPI

Claim Form of Interest = American Dental Association

Capability = Print (& Mail) Claims AND/OR Submit E-Claims

Monthly Volume = 1 to 150 OR Greater than 150

OS = Windows

Product Chosen: Dental Association Fill & Print

Claim Form of Interest = UCF Pharmacy

Capability = Print (& Mail) Claims AND/OR Submit E-Claims

Monthly Volume = 1 to 150 OR Greater than 150

OS = Windows

Product Chosen: UCF Pharmacy Fill & Print

Claim Form of Interest = HCFA-1500

Capability = Submit E-Claims

Monthly Volume = 1 to 150

OS = Windows

Product Chosen: HCFA-1500 EDI Clearinghouse

Claim Form of Interest = UB-04

Capability = Submit E-Claims

Monthly Volume = 1 to 150 OR Greater than 150

OS = Windows

Product Chosen: UB-04 EDI Clearinghouse

Claim Form of Interest = HCFA-1500

Capability = Submit E-Claims

Monthly Volume = Greater than 150

OS = Windows

Product Chosen: HCFA-1500 EDI Direct

...

1 example of the following:

Claim Form of Interest = HCFA-1500

Capability = Submit E-Claims

Monthly Volume = Greater than 150

OS = Mac (Apple)

Product Chosen: HCFA-1500 EDI Direct

--Since we do not have an Apple version of this product, I would like to include something in the short description saying such.

This probably sounds a bit more difficult than it is. Please let me know if you have any questions. I feel as though if I have a good layout for this, I will be able to tweak it on my own; I just need the start!

Thank you.

Compétences : Design de site internet

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Concernant l'employeur :
( 9 commentaires ) Richmond, United States

N° du projet : #1038159

Décerné à :

kounoupi

Hi - Please check PM

78 $ USD en 1 jour
(2 Commentaires)
2.2

5 freelance font une offre moyenne de $105 pour ce travail

jDevAndDesign

please check your pmb

149 $ USD en 3 jours
(33 Commentaires)
4.5
vinnpro

Please provide me this opportunity..

80 $ USD en 1 jour
(5 Commentaires)
3.9
devipn2009

I can do this project in time

120 $ USD en 3 jours
(0 Commentaires)
0.0
atyanands

Well i will be glad to do this [url removed, login to view] seems interesting one. What all i will need is the list of form name and numbers i.e. UTF-15 etc. So it will be [url removed, login to view] let me know if its ok...??

100 $ USD en 3 jours
(0 Commentaires)
0.0