ASP Intranet Web Form that generates a PDF

What I need or require: I need someone to convert this form into a web form that ask the same questions and saves the answers in a MS Sql Database. There also needs to be a way we can view previously entered data and modify the data or add new data. There should also be a way to select a form to be generated to pdf if needed and also allow it to be printed to look like the attached form. What I already have versus what the provider will deliver: I have a paper form, I need it to be a web based form. Other context/requirements that providers will need to know: Specific expertise/background that I am seeking: ASP web pages, preferably VB programming, MS Sql Timeframe for delivery: 2 Days