Using MS Windows XP/PRO with Office 2003.

I created a simply Outlook form for users to provide basic information however, the only piece of information that is received is what is entered into the message box field. The remaining six fields are not received. Also, I was expecting to receive the e-mail in the same context/format as the form with the information filled in. However, what I'm receiving is just what was included in the message box field in regular text. I went into the Outlook properties of each field and binded the value to the field name, which I thought would resolve the issue, but it didn't. This is getting very frustrating, any assistance would be greatly appreciated, thank you in advance for any advice.

The computer I'm using is not connected to the internet so I'm not able to the provide the form.