Goupile is an open-source electronic data capture application that strives to make form creation and data entry both powerful and easy.
It is currently in development and there are no public builds yet. But you can find out more about it or test the current alpha version online.
We also offer paid hosting services based on Goupile suited to your needs, see the pricing page or contact us for more information.
The source code is available under the terms of the AGPL version 3 license.