Need to make a form that adds to a journal entry

[Kristonia]

Hello, I have been going crazy trying to find code that will take what is on the form and display it below the form like a journal entry. I know how to email the form to myself but I want it too automatically add the info to the page like this:

Form:

How much sleep did you get |drop down box|
How did you feel today? |text box|
How do you feel about your performance? |text box|
What worked for you? |text box|
What didn't work for you? |text box|
What are your plans for next week? |text box|
[submit button]

Journal: After hitting submit the following appears at the top (or bottom) of the list of entries:

Automatic date insertion
Sleep: (selected from drop down box)
Felt: (text from text box)
Performance: (text from text box)
Worked: (text from text box)
Didn't work: (text from text box)
Plans: (text from text box)

Please Help!
Kristonia:confused:

[Paul Jr]

I believe this would require a ServerSide Language. You might have some luck in the PHP Board, or ASP...