Text is outside the field box

Hi, 

pls, help as my text is outside the box. I am viewing the form using its link  and this is how it looks like - http://prntscr.com/g15bxg 

This is my form: https://form.jotform.us/72016169884160

Pls email replies to sheryl.erixson@gmail.com

Pls help

Thanks!

The text looks fine in your form's direct link: https://form.jotform.us/72016169884160? 

If you have embedded your form, please try embedded the form using the Iframe code: https://www.jotform.com/help/148-Getting-the-form-iFrame-code