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Patient History Questionnaire
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Job Description

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  • Posted: Wed, Jan 23, 2013
  • Time Left: Closed
  • Location: Anywhere
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  • Start: Fri, Mar 1, 2013
  • Budget: Not Sure
  • Fixed Price Job
  • Elance Escrow Protection
  • U.S. freelancers must have W9
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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.

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

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 0.0   |  Private   |  0 Jobs   |  2 verified credential(s)
Bid ID: 37151969  |  Submitted: Jan 24, 2013 02:22 ET 
Proposal SEALED
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