Simple Web Form Page To Fix

I need to finish a simple survey page, I’ve started in HTML but I need to make it more professional, i need to make it a php simple survey page. The submit and reset buttons are not working. Then I have a thank you page taht I would like to appear once the submit button is pressed.
The form page could be very similar or the same design as it is now, it only needs to have the functionality working with a professional way. It looks very HTML basic form.
I will need to be able to change the text written if I need.
The project is simple as this, only the form type page, the rest of the design is ok, the logo, the links are ok, it is only the form fields and structure.
I’ll supply the files you just have to fix them.

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Please only apply if you are confident of getting guaranteed:
1- Only programmers who place bids will be considered and I will not respond to copy and paste bids.

2- Need a serious and honest programmer so we don’t get any problem or trouble in the future.

3- Make sure you understand, know if you have what I’m asking for.

4- I need a 100% quality work and expert.

5- If you didn’t deliver me the files like you’ve explained to me, if it’s damaged, not according the quality that is demanded, not the correct file or not even send me all the files, I will leave a negative feedback about you. You will only be paid if its according all the quality demanded.

6- In a way of give me a good product and better understand what I want you can ask me all the questions that you really need to know.

7- Don’t bid if you’re not able to accomplish these tasks.

8 – You only receive the payment if you deliver what it was asking for and what you’ve promised to deliver, otherwise I will leave a negative feedback about you.

9 – This is a project that will grow so if you keep the things very professional and efficient I’ll be interested in keep a continuous business relation with you.

10- At the end of the project you need to deliver me the source files.

11- I will only choose the programmer after you showing me your portfolio that proves experience on this field put them online in order to be able to see them.

12- At the end of the project you also must give me at least 1 month of technical assistance.

Thank you

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