Wix store needs 1 page form added

I require 1 page to be added to my wix website [login to view URL] I require a page for catering that needs to be in format that allows customers to tick the items they are interested in and the items they tick come back to us in an email It will also be used as a catering inquiry page that allows the prospect to let us know the date and time of the function,how many people will be attending and expected budget per person and any other information to care to give us about the function