User Information Web Form Creation

I'm looking for a professional web developer who can create a web form for collecting user information.

The web form should be able to collect:
- Contact details (name, email, phone)
- Survey responses
- Sign-up or registration details

Additionally, all the collected information needs to be stored in a database.

Ideal skills and experience for this job include:
- Proficiency in web development
- Experience in creating interactive web forms
- Knowledge of database management
- Understanding of user data privacy and security protocols

More Info: See attachement