Looking for a smart form to do the following.
There will be a series of yes and no question. If the user enters no a block of text will come up below the questions informing them on what they can do to answer the question yes.
Then they last 5 questions will require input fields for the answer.
When the user hits submit they will get an ajax style window informing them that the message has been submitted and they they click ok they will be redirect to a homepage.
The information submitted will then be e-mailed to a predetermined address. The sendmail process should be handled with PHP.
The form should be web view able in a desktop browser or mobile device and should have a modern fell to it.