How do I convert a pdf to a fillable word document

I am having difficulty converting a pdf to fillable word document.  The fonts change from line to line and it isn't lining up.

Adobe Reader cannot export PDF page content so you must be using one of Adobe's online subscription services.
Perhaps ExportPDF or PDF Pack.
The export is of the page content. However, PDF (the file format / technology) has no "style", "formats", etc. -- PDF is not a word processing file format.
So, the software does the best it can with what it is provided.
Thing is "export" is impact very much by what created the PDF and how the PDF was made (the "under the hood" stuff).
GIGO is operative and the output pretty much identifies the caliber of the input (what is "under the hood").
Good to know is that for optimal export one wants a well-formed Tagged PDF (an ISO 14289-1, PDF/UA-1 compliant PDF).
Two key design considerations of "Tagged" PDF are "accessible" PDF and export of PDF page content.
What to do?
Once you have the output Word file you will have to perform requisite cleanup. Then rebuild form field using Word's tools.
Be well...

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