On multiple select ideas, there should be a popup or hover option implemented to give users more info about the question or selections without cluttering up the form with text permanently. For example, click a question mark button and have instructions or explanation populate.
Have you looked into the Guidance hints? They are too small IMO but may work for you.
See this post https://community.esri.com/t5/arcgis-survey123-ideas/survey123-tool-tip-pop-ups-in-the-survey-form/i...
What I do is use images for each option like this.
Hope that helps
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