Coldfusion Assessment Form with Results/Contact form

I need a Coldfusion app that displays questions and, depending on the answer, gives recommendations and offers a contact form as well. ## Deliverables Here's what I need. Visitors will be asked around 10-20 medical-type questions on one page. Each question has a numerical value and each answer has a numerical value. The question types will vary between drop downs and radio boxes. Once all questions are answered, Coldfusion will sum up the values and give a "score" along with a brief description of the score. This score and description should appear above the initial questions using a self-post or ajax. Along with the summary, Coldfusion will also display a contact form with Name, Email, Phone and a Captcha. You can use Recaptcha if you like. I plan on recycling the form, so please comment the code for my future sanity. :)