What is JotForm?
JotForm is a free online form builder which helps you create online forms without writing a single line of code. No sign-up required.
At JotForm, we want to make sure that you’re getting the online form builder help that you need. Our friendly customer support team is available 24/7.
We believe that if one user has a question, there could be more users who may have the same question. This is why many of our support forum threads are public and available to be searched and viewed. If you’d like help immediately, feel free to search for a similar question, or submit your question or concern.
Please share the web page URL where you have embedded your form and we will take a look. I did try to find out the web page URL from the image you have shared above but the address is not readable.
Have you embedded your form using it's source code? There could be some css conflict and embedding your form with iFrame embed code will solve your issue. The following guide should help you grab your form's iFrame embed code: http://www.jotform.com/help/148-Getting-the-Form-iFrame-Code
Please share the web page URL and we will check the possible cause of this issue.
We will wait for your response.