Help me create the jotform

I would recommend you to kindly check the following chapter from our guides that will help you creating your form: https://www.jotform.com/help/chapter-2-Create+Forms

You may also check our templates, find one that may work for you and modify it, you can find our templates here: https://www.jotform.com/form-templates/

This guide will help you doing so: https://www.jotform.com/help/106-How-to-Use-Form-Templates

Now, if you are looking for an specific feature or functionality, please provide us more details, we will be happy to help.