IWork 09 Pages Templates for use on an ipad

I require 2 x Apple Pages (iWork09) templates to work on an ipad 4 (running iOS6) that has the Apple Pages application installed. I need to be able to easily add text, select items from drop downs and add images from my ipad photos. I have added 2 x word files to show an example of the sort of layout/functionally required. The word documents show the items required in the drop down lists. The check boxes should be easily checked/unchecked (or ticked) with a single tap if possible. I must be able to email the completed document as a word document- this is supported on the Pages app from Tools/Share and Print/ Email document/Word cument/Word