I need a questionnaire form with tick boxes

Hi everyone

First off great component ive just installed but due to time constraints Im going to need some paid help.

I need to set up a health questionnaire with contact details then a list of questions with tick boxes (yes or no) with a couple of please describe: and a text box with the customer to add some text.

If anyone can help please let me know time is abit short on this one!face-meh-blank

Thanks
Lee

PS I can send over a copy of the form to the person who wants to work on this

Hi peppercat,

Please send a copy of the form to the address in my sig. And please say what you want to do with the form results . . . emails, database adds, etc.

Bob

HI Bob

Thanks for your reply Ill send that off asap it will be in the form of a html page.

The results are to by emailed

Thanks
Lee