HAPS A&P Prerequisites Survey
Name of institution 
Type of institution  
Location (in US, use 2 letter state code) 
Biology prerequisites for A&P  
Chemistry prerequisites for A&P  
  A & P I A & P II
% W % W
% D % D
If you don't separate D & F, then lump these both under F.
% F % F

or maybe this is easier:  fill in the total number of students, and then Excel can calculate percentages
A&P I A&P II
Total  Total
A A
B B
C C
D D
F F
W W