Multipage forms- best workflow for future editing

I'm struggling with understanding the proper workflow for creating and editing multipage forms. I need to create a medical history form (PDF) where patients can enter their medical history and patient info.
This form is usually 6+ pages. Each page has a header (logo and office address) and a footer (page number).
The problem I'm running into is when we need to make a change like add a question or change the wording of a question. Is there a way we can edit the form (either in Word or an Adobe product) and not have to recreate the form in Acrobat Pro?
I've hired contract workers from Odesk and each one I've hiried claims they can edit the questions after the form is created. But each time this happens, the form looks worse after each edit. I'm pretty sure this is the problem because they are editing the text in Acrobat Pro, which has very limited text editing capabilites.
I'm wasting so much time going back and forth with contractors explaining to them that the text format looks like crap.
I'm very capable of designing and editing these forms myself, but I just don't have the time. So I'm contracting this work out.
I'd greatly appreciate any advice on the best workflow for PDF forms.
Thanks!

Yes, there is a way. You need to edit the original file format (Word, in
this case), and then create a new PDF.
You then open the old version (that has the form fields in it), and use the
Replace Pages command to replace the old pages with the ones from the new
file. This will maintain the form fields in place, although you might need
to rename them and align them with the new page contents.
This is a much better approach than trying to edit the PDF directly
(although this option has been greatly improved in Acrobat XI).

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[Screwfilms.blogspot.com]
Message was edited by: screwfilms

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