Wahoo Wufoo

If you have any need to use forms or short surveys, Wufoo may be for you. For limited use, Wufoo is free but for more forms and users, you will need to upgrade. The beauty of Wufoo is that it is so easy to use. You simply drag and drop the fields you want into a blank area and ta-da - your form is finished. Check out the one I did below (in about 1 minute).

http://safetyfundamentals.wufoo.com/forms/untitled-form/