I will assume that your survey has a date field.
I suggest that you make a table called ears and populate it with a few years like 2019 and 2020.
Set the key field of the years table to be the year.
On your service table make her feel called year where the formula is
Year([Survey Date])
Then make a relationship where one year has many surveys based on that reference field on the right hand side.
Then you will end up needing to make 18 different some reef fields on that relationship.
The first one will be where your accounting the number of surveys where the answer to question one was a NO.
Then once you get that field working properly you will end up copying that field 17 more times except changing the filter where question to her question three is equal to NO.