Lead Generation website2

I need to Mimic this website [login to view URL] with a few changes.. "Win a Free Samsung Galaxy s7 or Apple iPhone 6s with an additional 500$! Chose your phone and complete our survey to enter!" Will be main Slogan, With two pics of each underneath where they select model and fill first part of form... "We have Weekly Winners, This is no Gimmick!", will be another slogan... I also need to Add graphics/Font/Progress bar to my script which starts after 1st page submit... I also need a survey locking script to make sure they complete the minimum offers i have set for them to complete.. Site must work on Mobile Phones... Please bid with a realistic timeframes as it will be held against you, fastest timeframe will most likely be awarded...