I do not know how to write a code

Question

I need to put this table into a Fragebogen and i do not know how to

the boxes need to be checked while so _ need to be open to answer by every individual.

Answer 1

There are several possibilities to get different questions into one table.

1) You could use HTML tables, see Placing Elements Side by Side, but keep in mind that won't work out well on smartphones.

2) You could use a combined question made from a multiple choice question, a scale (!) question that uses the dropdown display variant, and two text input questions for the right column.

3) You can work with placeholders, see Forms with Different Input Formats, although this may need one of the above options as supplement.

Generally I would not recommend trying to get the layout from printed paper to the screen. This usually is hard work, and the outcome will not work on Smartphones. Instead, I would recommend to start with a multiple choice selection for the first column on a separate page, and then use filters to show the proper follow-up questions in multiple pages.