A Simple Form Class

First the code for the class file simple-form.cls:

\NeedsTeXFormat{LaTeX2e}
\ProvidesClass{simple-form}[2014/10/11]

\DeclareOption*{\PassOptionsToClass{\CurrentOption}{article}}

\ProcessOptions

\LoadClass[a4paper,12pt]{article}

\RequirePackage{etoolbox}
\RequirePackage{wasysym}

\newcommand*{\form@fillin}[2]{%
  \makebox[#1][l]{\rlap{#2}\hrulefill}%
}

\newcommand*{\form@checked}{\XBox}
\newcommand*{\form@unchecked}{\Square}

\newcommand*{\form@layout@checkbox}[2]{#1 #2}
\newcommand*{\form@layout@fillin}[3]{#3: \form@fillin{#1}{#2}}

\newcommand*\@name{}
\newcommand*{\name}[1]{%
  \renewcommand*{\@name}{#1}%
}

\newcommand*{\gender@male}{\form@unchecked}
\newcommand*{\gender@female}{\form@unchecked}

\newcommand*{\gender}[1]{%
  \ifcsdef{gender@#1}%
  {\csdef{gender@#1}{\form@checked}}
  {\ClassError{simple-form}
   {Unknown gender `#1'}%
   {Options: `male', `female'}}
}

\newcommand{\makeform}{%
  \form@layout@fillin{8em}{\@name}{Name}\qquad
  \form@layout@fillin{12em}{\@date}{Date}%
  \par
  \bigskip
  \par
  \form@layout@checkbox{\gender@male}{Male}\qquad
  \form@layout@checkbox\gender@female{Female}%
}

\endinput

Now the sample document:

\documentclass{simple-form}

\name{Mabel Canary}
\gender{female}

\begin{document}

\makeform

\end{document}

Download simple-form.cls and simple-form-example.tex or simple-form-example.pdf.