How to store responses from custom HTML questions

I'm trying to build a multiple fill in the blank style question using custom html. Currently I am able to have the question appear as desired but when responses are given, Qualtrics does not store these responses. I am assuming this is due to the id of my custom questions are not connecting to Qualtrics in some way. Here's is what the survey looks like to respondents: ! Here is the custom html code: ! I am unfamiliar with html and javascript. How do I get Qualtrics to "count" these responses to custom html questions? Thanks!