Buy or Lease Form

I would like to re-create the form that's on this page: [login to view URL] This Atlantic Nissan website page is part of the Nexteppe Website platform. The other dealers I have don't use Nexteppe, but I would like to be able to do this same Buy or Lease questionnaire for them. I need to be able to copy the html code that you would create into a new page on other dealer's websites and change the page that it takes you to, depending on the answers to the questions. For example, If I were to put this questionnaire html code onto ABC Nissan's website, I would need to be able to direct people to a page that contains purchase specials or lease specials, depending on their answers to the questions.