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.
You could use the Spread2Jot to import your spreadsheet to your form. When you import the spreadsheet you should get a form generated.
There is also an option of creating the form yourself via components available already in Jotform.
Please take a look at the example form I created for you:
Let us know if you need more information.