Data is not recorded properly on form submission

Data is not recorded properly on form submission

My application name is "agama yoga data collection"

The form name I'm having trouble with is "Agama Yoga First Month Course: Feedback", and its script id is "Complete_Feedback"

When I enter data into this form and submit it, a new row appears in the form View, with two columns, but no data is entered (ie. no row name, no column name, and no field data).

Can you help me figure out what I'm doing wrong?

Thanks,
Andrew