diff --git a/packages/lib/server-only/pdf/insert-field-in-pdf.ts b/packages/lib/server-only/pdf/insert-field-in-pdf.ts
index 9b2b8183b..0ea2caffd 100644
--- a/packages/lib/server-only/pdf/insert-field-in-pdf.ts
+++ b/packages/lib/server-only/pdf/insert-field-in-pdf.ts
@@ -331,36 +331,75 @@ export const insertFieldInPDF = async (pdf: PDFDocument, field: FieldWithSignatu
       }));
 
       const selected = field.customText.split(',');
+      const direction = meta.data.direction ?? 'vertical';
 
       const topPadding = 12;
       const leftRadioPadding = 8;
       const leftRadioLabelPadding = 12;
       const radioSpaceY = 13;
 
-      for (const [index, item] of (values ?? []).entries()) {
-        const offsetY = index * radioSpaceY + topPadding;
+      if (direction === 'horizontal') {
+        let currentX = leftRadioPadding;
+        let currentY = topPadding;
+        const maxWidth = pageWidth - fieldX - leftRadioPadding * 2;
 
-        const radio = pdf.getForm().createRadioGroup(`radio.${field.secondaryId}.${index}`);
+        for (const [index, item] of (values ?? []).entries()) {
+          const radio = pdf.getForm().createRadioGroup(`radio.${field.secondaryId}.${index}`);
 
-        // Draw label.
-        page.drawText(item.value.includes('empty-value-') ? '' : item.value, {
-          x: fieldX + leftRadioPadding + leftRadioLabelPadding,
-          y: pageHeight - (fieldY + offsetY),
-          size: 12,
-          font,
-          rotate: degrees(pageRotationInDegrees),
-        });
+          const labelText = item.value.includes('empty-value-') ? '' : item.value;
+          const labelWidth = font.widthOfTextAtSize(labelText, 12);
+          const itemWidth = leftRadioLabelPadding + labelWidth + 16;
 
-        // Draw radio button.
-        radio.addOptionToPage(item.value, page, {
-          x: fieldX + leftRadioPadding,
-          y: pageHeight - (fieldY + offsetY),
-          height: 8,
-          width: 8,
-        });
+          if (currentX + itemWidth > maxWidth && index > 0) {
+            currentX = leftRadioPadding;
+            currentY += radioSpaceY;
+          }
 
-        if (selected.includes(item.value)) {
-          radio.select(item.value);
+          page.drawText(labelText, {
+            x: fieldX + currentX + leftRadioLabelPadding,
+            y: pageHeight - (fieldY + currentY),
+            size: 12,
+            font,
+            rotate: degrees(pageRotationInDegrees),
+          });
+
+          radio.addOptionToPage(item.value, page, {
+            x: fieldX + currentX,
+            y: pageHeight - (fieldY + currentY),
+            height: 8,
+            width: 8,
+          });
+
+          if (selected.includes(item.value)) {
+            radio.select(item.value);
+          }
+
+          currentX += itemWidth;
+        }
+      } else {
+        for (const [index, item] of (values ?? []).entries()) {
+          const offsetY = index * radioSpaceY + topPadding;
+
+          const radio = pdf.getForm().createRadioGroup(`radio.${field.secondaryId}.${index}`);
+
+          page.drawText(item.value.includes('empty-value-') ? '' : item.value, {
+            x: fieldX + leftRadioPadding + leftRadioLabelPadding,
+            y: pageHeight - (fieldY + offsetY),
+            size: 12,
+            font,
+            rotate: degrees(pageRotationInDegrees),
+          });
+
+          radio.addOptionToPage(item.value, page, {
+            x: fieldX + leftRadioPadding,
+            y: pageHeight - (fieldY + offsetY),
+            height: 8,
+            width: 8,
+          });
+
+          if (selected.includes(item.value)) {
+            radio.select(item.value);
+          }
         }
       }
     })