I need a question box created like in the website below
[url removed, login to view]
If you can't see the site in your country I am attaching a screen shot of the question box. Basically the script will ask a series of questions and once answered it will present a form item asking the user to submit their email.
I am going to use this script on multiple pages so I would like instructions on the page pointing to areas that I can edit such as the buttons and where I can edit the questions or add and remove questions