Use Adobe Acrobat Pro (or similar) to create Adobe Acrobat Form from a PDF of the existing form.
All fields in the form need to have Acrofields defined (including the tick boxes) .
It needs to look very professional.
I can do this job in professional manner. I have vast experience of Adobe Livecycle Design PDF editing and Electronic Forms. Please consider me for this job. I am ready to start. Please check PM for more details.