165102 Create a custom php page

I need a programmer to create a php page for me that is blank just like this one: [login to view URL] I know how to create them in the root and connect them with the other files but when i try to create it in a subdirectory it messes things up for me. I want this page to be created under /survey/ directory. You will have to make sure it connects to the header, footer, mysql, etc. You will see how the structure of the website is build so i'm sure you wont have a problem once you see how the website is layed out. I would need /surveys/[login to view URL] and then [login to view URL] that is only viewable by the member logged in.