Do these two records pertain to different patients? Where is the patientID?
You are using expressions to 'pivot' the data - like a CROSSTAB? So you need a count expression for each of the 4 symptom options? And the same for other questions - a count expression for each possible answer?
Aside from the difficulty you are having with this data analysis, consider what happens if you have to add a new question or a new answer option. Everything will have to be edited - table, query, form, report.
This is a nightmare! I think really need to normalize data, either in table structure or by UNION query for reporting requirements.