Prototyping Interactive Forms – Fill in the Blank

Can anyone recommend a form prototyping tool (a la Typeform, or Google forms, etc.), that can present questions in the form of "fill-in-the-blank."

I want to be able to present the user with a sentence where part of it is missing, and the blank is actually a text entry field they can complete. I am looking for something similar to how it's done here: https://www.hioscar.com/get-quote/

Any suggestions?