documentclass{article}

usepackage{hyperref}
usepackage{xcolor}

begin{document}

begin{tabular}{|l|l|l|l|}
hline
textbf{Role $Downarrow$ }textbf{Person $Rightarrow$} &&&\
&&&\ hline &&&\
Friend &
CheckBox[width=1em,name=a]{~}&
CheckBox[width=1em,name=b]{~}&
CheckBox[width=1em,name=c]{~}\
&&&\ hline
end{tabular}
end{document}