HMTL Code for a Beauty Consultation Form

I am looking for a form for a consultation needed to upload onto Big Commerce website. This form is to allow clients to answer a number ion questions to ensure they are suitable for the products. Clients can also upload their images with an e signature ensuring they confirm the information provided.

I am also looking for a simple form to allow clients to upload their current skincare routine and also outline their skincare concerns for a call back to advise.