Simple Form to Email creator with Admin

im looking for some to develop a simple Form to Email, with a backend Admin. The process is as follows Should be done in PHP/MySQL Admin Area - Create New Form Fields : Name of Receiver Topic of Receiver Email of Receiver Date of Form Role of Receiver Submit - List forms - Sr, Name of Receiver , Date of Form, No of entries (link to another page), Link(link to clientside),Edit, Delete. Client side. Based on the above. i need to generate multiple forms like for example if i created Form with Name of Receiver Jerry, so i need a link called [login to view URL] with the following fields Name of Receiver (label) Date (label) Role (label) Topic (label) Feedback (memo field) Name (input field) Submit (on submit it will save in db + send an email to jerry) as From ECTM Subject: Feedback on your <topic>: <Date> Details : Feedback Name if the admin form is deleted , the link will say : Form Deleted. in the admin (no of entries) will show a count of how many feedback the person received, on click, it will list all of them. it should be simple and clear. Client side, must fit on a mobile screen. i need this really soon.