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Creating a Reusable Questionnaire Module in WordPress Without Plugins

I’m looking to develop a questionnaire form in WordPress without relying on plugins. I have a solid understanding of HTML, PHP, and JavaScript. I aim to create a reusable module comprising six input fields, with the capability to direct the input data to various databases. Additionally, I need to categorize each module under different categories so that the results are displayed on different pages accordingly. For instance: