You can create a free survey form via creating a form in Google drive. You can embed it in your website or share with a link. The feedback will be save in a Excel file.
But you may not want everyone fill the survey. You need a password protected form.
To create a survey form using Google form and make it password protected
1) Google drive - creation form
2) in Text field, make it required question, and set data validation
as regular expression contains
^mypass$. mypass is the password you set.
Video: Google survey form creation and password protection
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