JSFiddle - React, Tailwind, and code Playground
HTML
<!DOCTYPE HTML>
<html>
<head>
<title> </title>
<meta charset = "UTF-8"/>
</head>
<body>
<h1></h1>
<form id="form" >
<fieldset>
<legend> Survey</legend>
<div id="boxalign">
<p>
<label>Hospital*:</label>
<input required title="Hospital is required!" name="MainHospital" type="text" />
</p>
<p>
<label>First Name*:</label> <input id="FirstName" name="MainName" type="text"/>
</p>
<p>
<label>Last Name*:</label> <input name="MainName" type="text"/>
</p>
<p>
<label>Title*:</label><input name="MainTitle" type="text"/>
</p>
<p>
<label>Department*:</label> <input name="MainDept" type="text"/>
</p>
</div>
<div id="boxalign2">
<p>
Contact Info<br>
<label>Email*:</label> <input name="MainEmail" type="text"/>
<label>Office #:</label> <input name="MainOffice#" type="text"/>
<label>Other:</label> <input name="MainOther" type="text"/>
<label>Preferred Contact:</label>
<select id = "myList" name="PreferContact">
<option value = "1">Email</option>
<option value = "2">Phone</option>
</select>
</p>
<p>
Assistants Contact Info (if applicable)<br>
<label>Name:</label> <input name="AssisName" type="text"/>
<label>Email:</label> <input name="AssisEmail" type="text"/>
<label>Office #:</label> <input name="AssisOffice#" type="text"/>
<label>Other:</label> <input name="AssisOther" type="text"/>
</p>
<p>
Who do you report to?<br>
<label>Name:</label> <input name="rprt2Name" type="text"/>
<label>Title:</label> <input name="rprt2Title" type="text"/>
</p>
<p>
Who reports to you?<br>
<label>Name:</label> <input name="rprtName" type="text"/>
<label>Title:</label> <input name="rprtTitle" type="text"/>
<label>Department:</label> <input name="rprtDept" type="text"/>
</p>
</div>
<p>
Top 3 Job...