Checklist/Training Certfication

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I'm trying to find a plugin in or code that can help me create a certification page for my buyers.

They would essentially self-certify by checking each box to indicate they've completed one of the training steps. Once completed, I want them to be prompted to provide their contact info so that I can send them a copy of their digital certification. (Would be a major plus if this was automated based on what they filled in the form.)

 

Anyone know of a plugin capable of doing this?

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