I would like to know if you can build a similar form?

Greetings I would like to know if you can build a similar script, thank you, and what would cost the price

Yes, the form you provided can be created with our form builder. We don't make the forms in exchange for money, but we can certainly assist you with creating it.

Here are the guides that can help you:

https://www.jotform.com/help/2-How-to-Create-Your-First-Web-Form

https://www.jotform.com/help/57-Smart-Forms-Using-Conditional-Logic

You should also check our widgets https://widgets.jotform.com/ and templates section: https://www.jotform.com/form-templates/

If you need any assistance along please let us know we'll be happy to assist.

Thank you!