One page website with Google Ads

I need someone to create a simple one page website. The site will be a flycatcher page. My intention is to ask visitors to the site to submit questions relating to my new eBook. Site title: How to be a good Dad. Dads to be. Site Content: For all those new Dads out there who are looking for information and inspiration on what it is like to be a Dad; I need your questions! I'm writing an eBook giving you all my experiences of being a new Dad, with information on what you really need to know. I need your help. I need your questions. Before I finish the book, I want to know what your questions are and what you want answers you want from such a book. My goal is to answer as many of those questions as I can in the book. Each person who sends me a question will receive a free copy, when the book is finished. Simple text box asking the following question: What questions do you want answered in my upcoming eBook? The web page should contain Google Ads. The page should include space for a photo banner across the top and a second photo to the top left of the page.