Looking for a form that will permit SURVEY and Several SELECTIONS can be made in each category

Here are few sample form templates for Survey: https://www.jotform.com/form-templates/category/survey 

For enabling multiple selections on each category, you can use a Multiple Choice field element for your Survey form. Here is an overview of all form field elements: https://www.jotform.com/help/46-Quick-Overview-of-Form-Fields 

You can also check this related guide which can be of help while creating a survey form:https://www.jotform.com/help/158-How-to-create-a-survey-form-and-customize-it 

Do review and let us know if you have any queries.