Wordpress plugin: dynamic form

I want to offer the users of my Wordpress site a dynamic form. It will assist in a special task: coding diabetes in the International Classification of Diseases (ICD). This is rather challenging in Germany: many rules have to be obeyed. The form asks a few questions after which it proposes a code for the type of diabetes. I need this form as plugin. It should be easy to use and easy to service: Every year the codes and coding rules are revised, which may influence the coding of diabetes too. When this job is done satisfactory and the price is affordable, there will be some more projects of the same kind. I'm looking for a long-term business relationship. Before bidding: please read all the requirements and the details of the business rules in the attached file first. I want you be fully aware of what you're bidding for! ## Deliverables The product must comply with the following rules and conventions: - Plugin for Wordpress 3 and higher for installation as ZIP-file. - Plugin complies with Wordpress Plugin conventions - Plugin uses the Wordpress PHP interface / API where applicable - Where the WP API is not used, the plugin is programmed independently - If the worker wants to use/merge other plugins please consult with me first - The form must be handled by a Wordpress shortcode ([form-diabetes]?) - Form output must follow the HTML5 standard - The use-case information is found in the attached file We use the canvas theme: the Woo Framework can be used accordingly