Short offline survey to work on iPad and Mac

I need to create a short survey of about 10 questions that will consist of multiple choice and standard response for an event. The survey needs to be able to work on iPad and a Macbook Pro without the need for an internet connection. Many people will be completing the survey during the course of a day and the data needs to be saved locally with the ability to export this to a CSV file. I will be working with you to help with the creative side and my input will be on styling and design. Any designs I provide can be provide in Illustrator format if necessary.