Report Question - List 3 choices and check mark selected

[calgaryguy]

I am wanting to create a report that lists the three choices for a field and then have a check box that would check which item was chosen. If nothing was chosen yet, I would like it to just list the three choices with a check box by it.

Thanks for your help.

 

[calgaryguy]

Just wondering if anyone has any questions about this. I'm still stuck on how to do this. Thanks.