What is JotForm?
JotForm is a free online form builder which helps you create online forms without writing a single line of code. No sign-up required.

At JotForm, we want to make sure that you’re getting the online form builder help that you need. Our friendly customer support team is available 24/7.

We believe that if one user has a question, there could be more users who may have the same question. This is why many of our support forum threads are public and available to be searched and viewed. If you’d like help immediately, feel free to search for a similar question, or submit your question or concern.

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    How to create this form?

    Asked by jeancy on April 04, 2017 at 12:34 PM
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    JotForm Support

    Answered by Nik_C on April 04, 2017 at 03:11 PM

    You can create that form with our Form builder. 

    With our builder, you can create a form by simply drag and drop of the fields on the left-hand side:

    Also please check our starting guide: https://www.jotform.com/help/2-How-to-create-your-first-web-form

    Also, our Forum is 24/7 so feel free to reach us anytime.

    If you have any further questions please let us know.

    Thank you!