Mobius Forms is a online form, which can be customized to be everything. Check out the screenshots to see what it can do and how you can customize it:
Note that instructions for customizing can be found in the Mobius Forms Wiki.
for 2sxc 08.03.00
If this is the first time you've seen DNN-Apps and would like to try one - just install 2sxc first, then install this app inside it.