how to design this accessibly in a web app

I've been asked to create a web application to replace a word document which is currently being used for a review process.
One of the questions in the document is to circle 2 words that apply most and strike 2 words that apply least

How can you design this interaction accessibly?
Right now, the only way i can think of is to just split it into 2 separate questions and work with checkbox hacks to identify which ones are selected
It feels like the easy way out, so I wanted to know whether there are alternative options to this
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