Design Feedback - Survey Form - New User

I would appreciate any/all design feedback on my survey form. My original intention was to give it a “googie” appearance and use only html/css to create the logo.
My current impression is that the design looks more out of date than representative of the googie style.

I’ve not yet committed the code to github but here is a screen shot.

@romorgan can you post the Codepen link to your project?

Hello Brandon,
I’ve pushed the docs to github.

Just be aware that this is still a work in progress. The captcha image is not resizing correctly when viewed from my phone and neither the html or css has been refactored.

Thank you.