Project: Medica Medicare - data entry phone-in reponse from newspaper advertising campaign

Medica Medicare is running ads in 10 local newspapers to attract interest in local Medicare information meetings/seminars for the purpose of registering attendees.

This is the data entry path in case someone sees an ad and prefers to call in or fax rather than use the Internet.

VBScript, ASP, HTML, CSS, SQL

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Respondent reads newspaper ad in their local paper - one of 10 concurrent campaigns and decides to phone or fax rather than use the internet. A data entry person takes the call and uses this form to enter respondent information. First they choose the meeting city.

Landing page for Medica print responder

The data entry person fills out the form for the phone-in respondent. Form validation is defeated when page detects a data entry path. Information is logged to SQL database.

Form fill-out page for Medica print responder

Data entry person sees online confirmation of form submission - and can click on appropriate link to continue entering respondents. Session variables are wiped to prevent over-writing of data from last session.

Acknowledgment page

Form also submits to Responsys automated emailing system which sends out a confirming email to respondents who provide their email addresses.

Confirmation email

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