Input and Output Text Entries

Hey, I'm hoping someone could point me in the right direction with my problem..

I've moved over from Authorware and attempting to develop my first CBT in Captivate. I've been scoping these forums (with quite a high success rate on the most part!) for information but I'm pretty stuck on one point.

I need to create a 'login' type form on the first screen for users to enter their names and date of birth (etc). This will probably consist of three text entry boxes. These boxes will have the constraint that they must be filled it before the user can advance to the next page. I will then need to store these 'answers' within the program and then be able to output/display them on a slide at the end of the CBT along with their percent scored.

I've been trawlling the net for days trying to find some form of solution in Captivate or even using JavaScript inside Captivate but all I've come across is some form of answer in Flash. So, any help will be appreciated.

If anyone can help or even suggest if this is possible, that would be great.

Many Thanks.