1. $139
2.
http://www.magneticone.com/store/X.Cart.Modules...Mods/Survey.Builder.for.X.Cart
Please see screenshots at the bottom of the product description.
Check out presentation/screencast to better understand it.
Additionally here is link to live surveys
http://www.magneticone.com/store/survey.php?id=NA%3D%3D&preview
http://www.magneticone.com/store/survey.php?id=NQ%3D%3D&preview
let me know what other questions you may have