Multi-Page Form just like Example Website + Basic Captasa(repost)

Hello. I need a simple website/form exactly like my example. However I have my own company name and "template Monster" template for you to work with. <[login to view URL]> I just need a simple form in html that takes the user through the same form layout. then emails me the results. in addtion to the Example website, I need some sort of captasa on the first page. A nicer colorful one is ideal. I am leaving it up to you on how you build the html and I am familar with html however this form needs to be updateable, if I need to add a question or something. Just let me know if you have any questions thanks for reading!!