PDF form with one submit button that prints form and sanves PDF with data with a unique file name

We have a long medical form that patients can fill out at kiosks as they wait to see a doctor. We want one button so that the patient can print out the form with one click (and finish filling it out by hand if it's not finished already) and the same button click will save the form with a unique file name (using last name, first name, date, and/or email address so that the identity of the person who filled out the form will be readily apparent to anyone who wants to grab the user's responses later). Is Acrobat capable of doing something like this? LiveCycle Designer maybe? And if we continue with the PDF form and add a submit button, is there a way to program the button click to print and to save?
Thank you in advance of any suggestions that might accomplish this task.

I am not sure about the print, but it can probably be done -- possibly with a bit of JavaScript. As to the saving of the form, that is not reasonable at a kiosk. You would want the data submitted to a server (particularly with patient data), no e-mail or accessible drive. You can collect the data and put it in a database or import it to the form for printing yourself.

Similar Messages

Submitting multiple forms with one Submit button?

I'm working to create a web app for the iphone and am using
an apple developed css within an html page. In doing so I have
created three forms within the single page and would like to submit
them simultaneously with one submit. I've looked and tried a few
javascripts but nothing has worked thus far. All three forms call
the same action (php).
Is this possible using js or another function?

.oO(iRyFlash)
>I'm working to create a web app for the iphone and am
using an apple developed
>css within an html page. In doing so I have created three
forms within the
>single page and would like to submit them simultaneously
with one submit. I've
>looked and tried a few javascripts but nothing has worked
thus far. All three
>forms call the same action (php).
>
> Is this possible using js or another function?
Make it a single form.
Micha

Multiple Forms w/ One Submit Button

Hello,
I'm trying to create something for a little league team. I
have a MySQL database with 2 columns, i.e. Name/Age.
I currently have 9 forms on one page, with one submit button.
Name - (Text Field)
Age - (Text Field)
Name - (Text Field)
Age - (Text Field)
etc.
I only want one submit button to submit all the forms into
the name/age columns of my database instead of having to include a
different button next to each form. But, so far, when I try,
instead of inserting all 9 forms with the one submit button, only
the first form gets inserted into the name/age columns of my
database. I'd greatly appreciate any help. I have no idea what to
do.

quote:
Originally posted by:
bregent
That will never work. Use 1 form and then either write a
script
Thanks for the help bregent. You mean like a PHP script or
something?
quote:
Originally posted by:
bregent
use a stored procedure to loop through the fields and insert
them into the db.
I know wayyyy to little about web design to understand what
that means.
Thanks,
Jennifer

How do I create multiple TEBs with one submit button on one page in Captivate 7

I've read other posts on this topic (which refer primarily to earlier versions of Captivate) and am still at a loss as to how to put multiple text entry boxes on a page with one submit button. Here's my scenario:
I am creating test questions.
Each test question has multiple text entry boxes (for numbers only).
Student should be able to enter numbers into the textboxes in any order.
Then there is one Submit button that should initiate validating all the text entries, and move to a scoring page (so I can test it). (What would be best is if this button not only did the above, but also submitted scores to the LMS. But that is not my question at this time.)
I'd like this question to be set up as a template so that I can duplicate it, be able to add or delete text boxes and change the values required in the text boxes.
Here is an image of a sample question page with multiple TEBs. The yellow boxes tell the student where they need to enter text:
Any help or direction to help is appreciated!!

I think the problem here is that Arlhoolie wants all of the different TEBs to behave as if they were part of a single interaction that submits only ONE result to the quiz. Using multiple TEBs in Captivate means that you have multiple scored objects and therefore multiple results being submitted to the quiz.
If you want a single Success or Failure result submitted to the quiz based on the results from multiple interactive objects then there really is no simple way to do it. But you could try using the Infosemantics Interactive Master widget to combine all the TEBs as slave objects that report to the Master Widget, which then reports a single score to the quiz based on the results from the slave objects.
You can learn more about the Master widget here:
http://www.infosemantics.com.au/adobe-captivate-widgets/interactive-master
http://www.infosemantics.com.au/interactivemaster/help
You can download a free trial version of the widget here:
http://www.infosemantics.com.au/adobe-captivate-widgets/download-free-trial-widgets
One caveat you should be aware of is that this widget is not HTML5 compatible.

Can you have more than one submit button on a form?

I'd like to divide a form so that there are two sections, each with their own submit buttons. Is it possible to have more than one and if so, how do you "create" a button?

Hi,
You could try Redirect URL under Options tab. The way is you create two forms instead of two sections. Let's say form A and form B, then set form A's Redirect URL to form B.
After submit form A, it will jump to form B after seconds, which you can also set in Redirect URL option.
Let me know if this can help you.
Thanks,
Pengpeng

Problem with Email Submit Button in Interactive Form

Hi All,
I am using EMail Submit Button in InteractiveForm.
At run time when i click on this button then it is sending this pdf file in the form of .xml file at given Email address but i want to send pdf format only.
Can anyone help me how to solve the issue.
Thanks & Regards
Dinesh Kumar

Hi,
Try doing the following
try using the simple 'Button'. In the button's object properties, in the tab named 'field', select 'Control Type: submit'.
Then, in the 'submit' tab in the object properties, choose PDF in the 'submit format' dropdown field.
In the 'submit to URL field' type:
mailto:nameataddress.com?subject=mySubject&body=Done
You may need to adjust the e-mail address, subject and body text.
Regards
Ayyapparaj

I have an Apple ID and still have one but my first ID was with one email address which I change and I made the change with Apple but I cant with iCloud. How can i DO iT?

How can I edit my email with icloud?

In order to change your Apple ID or password for your iCloud account on your iOS device, you need to delete the account from your iOS device first, then add it back using your updated details. (Settings > iCloud, scroll down and hit "Delete Account")
Providing you are simply updating your existing details and not changing to another account, when you delete your account, all the data that is synced with iCloud will also be deleted from the device (but not from iCloud), but will be synced back to your device when you login again.

Is it possible to set up a form with a submit button where the data in the fields gets added to an existing excel file, just like 'collect response' but without connecting to the internet?

I have a form that I want to use to collect peoples information with a submit button. I am trying to get the data that gets inserted to be added to an existing excel doc when the submit button gets hit, the form then resets and someone else can fill in the same form, hit submit and his data gets added to the existing data in the same excel doc. It is basically the same as the 'collecting response' option but without having to be online. The form is going to be used at a boat-show and I am going to get people to fill it out on an iPad. Does anybody know if this is possible?

You could connect a bunch of 3700s to each computer and do this .
Or...since you're the one who monitors the monthly limit, you could restrict an individual's internet access once you see that you guys are coming too close to the cap.
I don't work for Cisco. I'm just here to help.

Submit Button in Interactive form is not Triggering (Webdynpro Java)

Hi,
I have developed one application for Online intractive form.I have created one text box and one submit button in Intractive
Form.I created a Action method Submit.I have bound the onActionSubmit() method to onSubmit Event of Intractive Form.
For testing i am putting some value in text box and Clicking Submit button.I have set the debugger in onActionSubmit()
method.But when I am Clicking Submit button, onActionSubmit() method is not triggering.I have
1. I have used Submit to SAP button (Pallet>Library>Web Dynpro).
2.I have ACF(Active Control Framework) instalation.
3.I have WAS 6.4 and NWDS 04.
4.I have SAPForms.api in   Program Files\Adobe\Acrobat 7.0\Reader\plug_ins path.
One Value Node DataSource (Cardinality 1..1) is binded into dataSource Property.And pdfSource property is binded to one value
attribute of binary Type.
I have done one application where i am getting data from R/3 System and displaying in PDF ,It is working fine.
I got below error in Log File for the above two applications.But geting the data from R/3 and displaying in PDF is working
fine even if it is giving below Error in Log
ClientJTSInterceptor.receive_reply
[EXCEPTION]
org.omg.CORBA.BAD_PARAM: Not found ServiceContext with id=0 vmcid: OMG minor code: 1A completed: Maybe
     at com.sap.engine.services.iiop.internal.giop.ClientRequest.get_reply_service_context(ClientRequest.java:284)
     at
com.sap.engine.services.ts.jts.ots.PortableInterceptor.ClientJTSInterceptor.receive_reply(ClientJTSInterceptor.java:91)
     at com.sap.engine.services.iiop.internal.giop.ClientRequest.dealReceiveReply(ClientRequest.java:133)
     at com.sap.engine.services.iiop.internal.giop.ClientRequest.dealReceiveReply(ClientRequest.java:125)
     at com.sap.engine.services.iiop.server.portable.Delegate.invoke(Delegate.java:282)
     at org.omg.CORBA.portable.ObjectImpl._invoke(ObjectImpl.java:486)
     at com.adobe.service._ControlAgentStub.done(_ControlAgentStub.java:83)
     at com.adobe.service.ProcessResource.onCommit(ProcessResource.java:609)
     at com.adobe.service.ResourcePeer.invokeCommit(ResourcePeer.java:130)
     at com.adobe.service.J2EEResourcePeerImpl.commit(J2EEResourcePeerImpl.java:124)
     at com.sap.engine.services.ts.jta.impl.ResourceList.commitTwoPhase(ResourceList.java:80)
     at com.sap.engine.services.ts.jta.impl.TransactionImpl.commit(TransactionImpl.java:355)
     at com.adobe.AdobeDocumentServicesLocalLocalObjectImpl0.rpData(AdobeDocumentServicesLocalLocalObjectImpl0.java:174)
     at sun.reflect.NativeMethodAccessorImpl.invoke0(Native Method)
     at sun.reflect.NativeMethodAccessorImpl.invoke(NativeMethodAccessorImpl.java:85)
     at sun.reflect.NativeMethodAccessorImpl.invoke(NativeMethodAccessorImpl.java:58)
     at sun.reflect.DelegatingMethodAccessorImpl.invoke(DelegatingMethodAccessorImpl.java:60)
     at java.lang.reflect.Method.invoke(Method.java:391)
     at
com.sap.engine.services.webservices.runtime.EJBImplementationContainer.invokeMethod(EJBImplementationContainer.java:126)
     at com.sap.engine.services.webservices.runtime.RuntimeProcessor.process(RuntimeProcessor.java:157)
     at com.sap.engine.services.webservices.runtime.RuntimeProcessor.process(RuntimeProcessor.java:79)
     at com.sap.engine.services.webservices.runtime.servlet.ServletDispatcherImpl.doPost(ServletDispatcherImpl.java:92)
     at SoapServlet.doPost(SoapServlet.java:51)
     at javax.servlet.http.HttpServlet.service(HttpServlet.java:760)
     at javax.servlet.http.HttpServlet.service(HttpServlet.java:853)
     at com.sap.engine.services.servlets_jsp.server.HttpHandlerImpl.runServlet(HttpHandlerImpl.java:390)
     at com.sap.engine.services.servlets_jsp.server.HttpHandlerImpl.handleRequest(HttpHandlerImpl.java:264)
     at com.sap.engine.services.httpserver.server.RequestAnalizer.startServlet(RequestAnalizer.java:347)
     at com.sap.engine.services.httpserver.server.RequestAnalizer.startServlet(RequestAnalizer.java:325)
     at com.sap.engine.services.httpserver.server.RequestAnalizer.invokeWebContainer(RequestAnalizer.java:887)
     at com.sap.engine.services.httpserver.server.RequestAnalizer.handle(RequestAnalizer.java:241)
     at com.sap.engine.services.httpserver.server.Client.handle(Client.java:92)
     at com.sap.engine.services.httpserver.server.Processor.request(Processor.java:148)
     at
com.sap.engine.core.service630.context.cluster.session.ApplicationSessionMessageListener.process(ApplicationSessionMessageLis
tener.java:33)
     at com.sap.engine.core.cluster.impl6.session.MessageRunner.run(MessageRunner.java:41)
     at com.sap.engine.core.thread.impl3.ActionObject.run(ActionObject.java:37)
     at java.security.AccessController.doPrivileged(AccessController.java:214)
     at com.sap.engine.core.thread.impl3.SingleThread.execute(SingleThread.java:100)
     at com.sap.engine.core.thread.impl3.SingleThread.run(SingleThread.java:170)
Please Suggest.
Thanks & Regards
muna

Hi Muna,
May ADS is not configured in server properly.
Check the below link. I hope it will help you.
Re: no action got executed corr to SubmitToSap button of Interactive forms
Thanks
Siva Arikatla

Connecting three frames to one submit button

Hi,
I have three frames (jsps) that hold one LOGICAL forms data. I would like to submit all three frames together with one submit button, which is located in the third frame(bottom one). Any ideas on how to link all the three frames to one submit button.
thanks in advance,
Rahul

Thanks all , but I have been able to figure out how to solve the problem. This problem was easily solved using the Document Object Model. Essentially the Frameset contains the three frames which in turn contain forms. Following is the code that handles the submission:
<form name="bottom" onSubmit="top.middle.document.middleform.submit();" method="POST" action="postit.jsp">
where top refers to the frameset, middle is the middle frame and middleform is the name of the form in the middle frame. This code exists in the form in the frame at the very bottom. So when the user clicks submit in the form in the bottom frame, the form in the middle frame gets submitted as well.

Submit button in Interactive form WDA

Hi All,
I have created one WD ABAP interactive form using one BAPI. I have placed one Submit button on the form which is of type (webdynpro native). And i have defined on action in WD. But when I click on submit button the action is not trigerring. I tried even with Webdynpro Active x type but still no use.
How can I link the button in form to action?
With Regards,
Ravi

Ravi,
There is onSubmit event in Web Dynpro where you can create your own method for data processing.
If you have set displayType as native then you should be using Submit button from WD Native Library in Designer.
Once you place the button on the form, check if following script is present in the click event of button in Script editor of Designer or not.
// DO NOT MODIFY THE CODE BEYOND THIS POINT - SubmitToSAP.xfo
ContainerFoundation_JS.SendMessageToContainer(event.target, "submit", "", "", "", "");
// END OF DO NOT MODIFY
Also check Control Type in Object Palette for the button. It should be Regular.
Chintan

Cannot E-Mail a PDF Form w/ a Submit Button

Hi, I feel really inept at this point and I'm hoping someone can help me (PLEASE!). My Home Owner Assoc. uses PDF forms created in Nitro PDF, but most users user Adobe Reader.
When a Nitro PDF form is opened in Reader, everything works as designed (radio buttons, form filling, tabbing, drop down lists, etc.) EXCEPT the Submit Button. The response is "This Operation Is Not Permitted" when the button is clicked.
If I go to File, Attach to E-Mail, the response is "The e-mail copy that you just chose will e-mail a blank copy of this form. The blank copy will not contain any data you might have typed into this form" with a button that states "E-MAIL A BLANK COPY". Obviously this defeats the purpose. There is a lightbulb TIP that states: "This form contains an email submit button, located on the form. Clicking this email submit button will email a data file containing data you type into this form", so obviously Reader recognizes the submit button.
The form works perfectly in NitroPDF (of course) and NitroPDF support says that it is a "problem" on the Adobe end.
Can anyone help me please? I'm using Windows Vista Home Premium SP!, Firefox 3.0.11, NitroPDF5.5, Adobe Reader Version 9.1.0.2009022700
Randy in Palm Springs

Hi Michael, thanks for this info. I really appreciate it... I
just have one point of clarification: I don't want to save the
data put into the form at all, just e-mail it (not to be saved),
similar to printing it out complete with data, then ignoring the
file. Is that still not possible?
Thanks soooo much for your help. I don't feel quite as inept now
Randy

Working with 2 submit buttons in a html form

I have 2 submit buttons in a form. I will upload a file and save in a filepath in server when I click on one "upload" button. I want to use this file path in the code when I click on another button called"Process". When I click the process nothing is happening with dump in below code.Form submits to itself. Is there any better way to do this. Thanks in advance.
<table width="40%" border="0" style="border: 1px solid black;">
          <form name="uploadform" action="processfile.cfm" enctype="multipart/form-data" method="post">
          <tr>
                    <td><input type="file" name="FileContents" size="25">
                        <input type="button" name="action" id="action" value="Upload">
                    </td>
          </tr>
          <tr>
                    <td align="middle">
                              <input type="button" name="submitaction" id="process" value="Process">
                      </td>
          </tr>
          </form>
    </table>
<cfset variables.filepath ="">
<cfif isdefined("form.action") AND form.action eq "upload">
             <cffile action = "upload" fileField = "FileContents" destination = "C:\test\" accept = "text/plain" nameConflict="overwrite">
          <cfset variables.filepath= "C:\test\#cffile.serverFile#">
<cfelseif isdefined("form.submitaction") AND form.submitaction eq "process">
          <cfdump var="#variables.filepath#">
</cfif>

Hi tburra,
You can try the below code. This dumps the value of the path as well.
<cfif isDefined('Form.tmpfile1')> <cfset root = ExpandPath("/Upload")> <cfset filename=GetFileFromPath(Form.tmpFile1)> <cfset FileExt=ListLast(filename,".")> <cfset variables.filepath =""> <cfset filename = "BidDocument1." & FileExt> <cffile action="upload" filefield="BidDoc1" destination="C:\Upload\" nameconflict="overwrite" accept="application/pdf,application/msword,application/vnd.ms-excel,text/plain,application/vnd.openxmlformats-officedocument.wordprocessingml.document,application/vnd.openxmlformats-officedocument.spreadsheetml.sheet"> <cfset variables.filepath= "C:\test\#cffile.serverFile#"> <cfdump var="#variables.filepath#"> </cfif> <!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd"> <html xmlns="http://www.w3.org/1999/xhtml"> <head> <meta http-equiv="Content-Type" content="text/html; charset=utf-8" /> <title>cffileupload Document</title> <form name="form1" enctype="multipart/form-data" method="post"> <input type="hidden" name="tmpfile1" value="" /> <input type="file" name="BidDoc1" onchange="setFile(this.form);" /> <input type="submit" name="save1" value="Upload" /> </form> <button onclick="location.href='processfile.cfm'">Process</button> </html>
This should help you.
Regards,
Anit Kumar

What action besides the mailto: one will work with a submit button to activate the required fields?

I have a submit button that uses the mailto: function to activate the required fields property on a pdf fillable form, but our users would prefer that the form not generate an email. Please let me know what I could replace the mailto: action with so the submit button will only activate the required fields proptery.
Thanks for the help!
Ken K.

Whatever is running on the server does not have to be PHP, any mechanism
that can accept a HTTP request can handle your form content. You have a
choice between using the "normal" HTML forms submission format, or you can
submit a FDF or XFDF file to your server. I've used Perl, PHP, Microsoft's
.NET and good old Unix shell scripts to accept and process PDF forms
submissions.
If you don't know how to implement the server portion, you will need to
work with somebody who can do that for you. How this is best done depends
on what server system you are using, and potentially what limitations your
web hosting provider is forcing you to live with.
Karl Heinz Kremer

How do I remove the "SUBMIT" button from a forms central PDF?

I downloaded a fillable PDF I want to e-mail now, but I want to remove the "SUBMIT" button that is added on for forms central.

When you convert a web form that you've created in FormsCentral and download as a PDF, you have the option of not including a submit button. If you created a PDF form with the desktop version of Acrobat, it won't have a submit button unless you upload it to the FormsCentral service and enable it for submission.
Still, you can remove it in Acrobat by first saving a non-enabled version by selecting: File > Save A Copy
and opening the copy (it doens't happen automatically) and deleting the button.

PDF form with one submit button that prints form and sanves PDF with data with a unique file name

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