JotForm is a free online form builder which helps you create online forms without writing a single line of code. No sign-up required.
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.
Unfortunately, it seems that no form was created for such purpose as of yet that is shared on the Form templates page. In such cases, you can simply create your own form with your preferred fields. Should you have problems with the design, simply let us know and we'll assist you on how to make your form have a proper layout that you have in mind.
Feel free to let us know if you have other questions or concerns.