- joeyAsked on November 24, 2015 at 05:36 PM
- JotForm SupportChriistianAnswered on November 24, 2015 at 09:20 PM
The form you posted can be created in JotForm. You can use text field, text box field and check box field to create your form. If this is the first time you create a form in Jotform, this guide might help you in creating you first form: How to Create Your First Web Form. Jotform can be embedded on different platforms. For more information, you can check this article: Which Form Embed Code Should I Use,
Do let us know if you need further assistance.