Need a form building app

I need an app that can present a form that we design and then save the data LOCALLY to the tablet.  I do NOT want an app that needs to save it to a vendor server and has a per month per user cost.  This is a one page form that our inspectors currently fill out on paper and and admin back at the office transcribes into a web based form
The inspectory will have NO internet access while on site and there is no immediacy to the data getting transferred.  So (s)he could sync the data collected once attached to a WiFi connection via a Dropbox account or other cloud based service.  So this should be a fairly simple app, I just cannot seem to find anything that does not require connecting to a vendor database and thus incurring per month costs.
Thanks.
Jim

https://itunes.apple.com/us/app/pdf-forms-annotate-fill-sign/id479202541?mt=8
Unfortunately you cannot modify a form in Pages, then save back to Dropbox.

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