176985602337900

Find freelancers. Lose those costly delays.

With 1.7 million freelancers, we'll match you with the perfect talent.

or, Register with Elance »

Patient History Questionnaire
Sign in to Add to Watch List

Admin Support > Data Entry

View Change History

The client has made the following changes to the job.

Description
Date
Close

Job Description

  |  Change History >>

Updated

Close
  • Posted: Wed, Jan 23, 2013
  • Time Left: Closed
  • Location: Anywhere
  • Client prefers freelancers from:
    Anywhere

    You are still able to submit a proposal for this job.

    The client prefers freelancers from
    a different location.

    You're still able to submit a proposal for this job, regardless of your location.
  • Start: Fri, Mar 1, 2013
  • Budget: Not Sure
  • Fixed Price Job
  • Elance Escrow Protection
  • U.S. freelancers must have W9
Sign in to view client's details

We need a simple, visually appealing questionnaire for our patients to answer at each follow-up. There will be 18-25 questions, with some smart filtering to skip a couple questions depending on answers to previous questions, with each question on a new page to ensure patients do not skip through. All questions will be answerable through either drop-down lists or multiple-selection bullets; there will be no text entry. Minimal graphic inclusion will be required; mostly the questions will be alone on a page with the answer selection button, a "Next" button, and a "Back" button. Nice patterned background and smooth, simple buttons and styling will probably be the extend of the graphic design, with our logo in a couple places and maybe one question to be displayed as a diagram of the head with various areas selectable. Basic diagram will be supplied by us, but can be altered within limits (coloring, fill) to fit in with design of the app.

Key additional requirements...

Sign in or Register to see more

Job ID: 37139032
Proposals
Avg $ | High $ | Low $ — Show Pricing
  • Submit Date (Latest)

 United States  |  
1
  |  
 0.0   |  $0 Earnings   |  0 Jobs
Bid ID: 38159473  |  Submitted: Feb 21, 2013 14:21 ET 
Proposal SEALED

 United States  |  
Hi, My name is Amanda. I have over 8 years of customer service and office experience. I am a very fast learner and dedicated to my work. I am a...
1
  |  
 0.0   |  $0 Earnings   |  0 Jobs
Bid ID: 38129305  |  Submitted: Feb 20, 2013 23:51 ET 
Proposal SEALED

 United States  |  
Boyland VA Services offers you a highly-skilled, independent professional, who can provide you with administrative, technical or creative business...
1
  |  
 0.0   |  $0 Earnings   |  0 Jobs
Bid ID: 38087049  |  Submitted: Feb 20, 2013 01:33 ET 
Proposal SEALED

 Australia  |  
A full services Tech Company based in Australia supported by a highly energetic team of IT , ITSM, Servicenow, Mobile Apps professionals.
2
  |  
 0.0   |  Private   |  0 Jobs   |  2 verified credential(s)
Bid ID: 37151969  |  Submitted: Jan 24, 2013 02:22 ET 
Proposal SEALED
Sign in to Elance and start working on jobs today.
Sign in to view more of the job details and submit a proposal. Once registered, you'll have access to thousands of jobs online or through email.
Are you ready to post a job like this one?
Post a Similar Job »