I have an
add-in available on my web site that produces such question forms, but while it could be used in a classroom environment where there is supervision, you could not simply e-mail it, because it suffers from the same problem endemic to all macro solutions, in that you cannot force the user to run the macros, without which it won't work.
It does not include the answers, only the ability to make choices. The results can be processed when the questionnaire is returned.