Questionnaire – poll

I am relatively new to WordPress and am not familiar with all of the plugins out there so please bear with me. I am looking for a plugin that will help me do the following:

Have people chime in on various establishments (that they identify), indicate if they comply or dont comply with the question of the day, and an area for a short comment.

Input:

Establishment: ________________ Comply? Y ____, N ____ Comments _____________________________

Results:

Establishment Comply Y Comply N
Establishment 1 x y Click for comments
Establishment 2 x y Click for comments
Establishment 3 x y Click for comments
Establishment 4 x y Click for comments
Establishment 5 x y Click for comments

Is this something that is out there or does this require coding?

Thanks all!