I'm a a full stack mobil/web dev, been doing this since 4-5 Years now, I have massive experience in building web apps, I develop apps with great UI/UX and best practice in mind,
For your project, I can work on it and have it ready in the next 54 to 72 hours. I get that it has to look like a Google Doc form with differents fields (checkboxes, radio buttons, input, textareas, etc...)
I don't mind discussing about the price.