I did solve this.
I created an array by column question.
For the Answers going down the left side I used div tags, see below, to insert the images and create the mouse hover effect.
For an example of the questions I set up I made this for you
www.nhs2survey.org/limesurvey2/index.php...63&newtest=Y&lang=en
<div style="display: none; position: absolute; border-style: solid; background-color: white; padding: 5px;" id="uniquename3">
<a href="javascript:ShowContent('uniquename3')" onmouseout="HideContent('uniquename3'); return true;" onmouseover="ShowContent('uniquename3'); return true;">Apri<img alt="Apri" src="http://www.nhs3.org/oc/images/apri.jpg" />
</a>
</div>
<a href="javascript:ShowContent('uniquename3')" onmouseout="HideContent('uniquename3'); return true;" onmouseover="ShowContent('uniquename3'); return true;"> [Apri]
</a>
<div style="display: none; position: absolute; border-style: solid; background-color: white; padding: 5px;" id="uniquename3"></div>