Simple Survey through Google Docs

I want to convert an existing hardcopy of a survey into an online survey using Google Apps to allow the survey to populate a Google Docs spreadsheet. The only change to the attached PDF is to add a survey step that asks if they attended the meeting, and if they did not attend the meeting, why? Here are the questions: 1. Did you attend the EO Accelerator Learning Day? ☐ YES ☐ NO 2. If No, why? ☐ Did not know about the event ☐ The subject did not interest me ☐ Schedule conflict 3. If yes, continue with the survey: 4. Learning Day Subject: ☐ Finance, ☐ Strategy, ☐ People, ☐ Sals/Marketing 5. Chapter: ________________________ 6. Event Date: ___________________ 7. Please rate the overall quality of the Accelerator Day (0-10 with 10 being Excellent): ☐ 1 ☐ 2 ☐ 3 ☐ 4 ☐ 5 ☐ 6 ☐ 7 ☐ 8 ☐ 9 ☐ 10 8. Were there 2-3 things you picked-up that you can apply to your business? (0-10 with 0 being 'not at all', and 10 being 'yes, many'). ☐ 1 ☐ 2 ☐ 3 ☐ 4 ☐ 5 ☐ 6 ☐ 7 ☐ 8 ☐ 9 ☐ 10 9. Please rate your Accelerator Facilitator (Was your Facilitator clear? Did they communicate the material well? Did you understand the material being presented?) (0-10 with 10 being Excellent). ☐ 1 ☐ 2 ☐ 3 ☐ 4 ☐ 5 ☐ 6 ☐ 7 ☐ 8 ☐ 9 ☐ 10 10. Please comment on what you would like to see more of in the Accelerator Strategy Day. 11. Do you have any additional feedback regarding this Accelerator Day or the program in general?