Pretty straight forward. You are having <?=$options?> in echo.
End the echo statement then echo $options.
Example,
echo'<form action=\"insert_interest.php\" method=\"POST\">
<h4>Select which course you would like to register your interest in</h4>
<h5>Option 1</h5>
<select name=\"radio\">
<OPTION VALUE=0>Please select an option';
echo $options;
echo '</select>
<h5>Option 2</h5>
(only select more options if needed)<br />
<br />
<select name="radio1">
<OPTION VALUE=0>Please select an option';
echo $options;
//and so on...
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