Survey from app for Ipad

I am looking for a data base app that can be used on an I pad so when we go to do a new sign survay we can input all the information on the ipad, take a picture and then send all the info and the picture via e-mail to our office.
The information needs to be coded to be able to be inported to an access based data base. I can supply the paper form that we use now and it can be moddled to that same format. I would also like to be able to tweek the from time to time.