Create a survey form

I have created a survey and basic layout requirements however I need this formatted into a document that can be used more easily! The survey that I have attached has all the information in it but it is not very user friendly as when I type in the spaces I have created, all my text moves - very annoying. This document is sent to clients and they fill it out and return it. I would like for them to have the option of typing in their information and emailing it back as this is quicker than printing and writing. I would like the text boxes provided to have the ability to expand if they want to type more. I would also like all areas aside from text boxes protected so that it can't be altered....except by me of course as I would like to add a Header and Logo. I don't mind if this is in a different program (does not have to be Word), aslong as I can use it and alter as I need and my clients can open it at their end I suspect that this is a fairly straight forward job for someone who knows what they are doing and therefore am really not wanting to pay more than $30.00 Please ask me for any more information that you may require.