When you have repeating questions within the form design you can provide unique names to the columns in the responses table to allow you to easily differentiate between the fields. The screenshot below shows a before/after view of two "Do you like this image?" fields being renamed to "Do you like image 1?" and "Do you like image 2?" - note that this change does not impact the label of the fields in the fillable form.
As shown in the image below, the updated column names will be used in the email notifications.
Regarding the position of the field, it's currently not possible to position it directly beneath the text to the right of the image.
Let me know if you have any questions.
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After you have created your fields you could go into the "Responses" tab of the form and edit each "Do you like this image" column and add something to identify which image it refers to there, that will not change the label in the form so the user would still see "Do you like this image" but you would see the image name too in the response table.
On the follow up question, our layout options do not currently support the type of layout you are asking for (two fields aligned with a single field).
Thanks! I didn't know I edit that field.