Hi,
As an excel expert having experience over 5 years working with it, I'd be really glad to accomplish your task. In my professional career, I've made more than a hundred forms using excel check list for data analysis. I have experience making not only forms consisting check box (check list) but also combo box, list box, radio button, spin button & so on. So, I can confidently assure you that you'll get what you want and maybe more than that.
As clients' satisfaction is my top priority, you don't need to release any milestone until you are 100% satisfied with my work.
Feel free to contact me for further discussion. I promise you'll get some exceptional work from me which will definitely exceed your expectation.