I would use ActiveX command buttons, utilizing the Caption property to indicate the button status (On/Off) and Add/Subtract the appropriate value to the Total cell.
Access the Developer tab, click 'INSERT', select the ActiveX command button object, and click and drag a button onto the worksheet. Position it in cell C4 and size it as desired.
Right Click the button and select 'Properties'.
In the Name property at the top, change the name to: btnFluency1
Scroll down to the Caption property and delete the caption text
Close the Properties window.
Double click the command button to access the VBE.
Delete the Click event header/footer:
Private Sub btnFluency1_Click()
End Sub
Copy this event handler and paste it into the editing area you just cleared.
Private Sub btnFluency1_Click()
If Me.btnFluency1.Caption = "" Then
Range("A1").Value = Range("A1").Value + 1
Me.btnFluency1.Caption = "X"
ElseIf Me.btnFluency1.Caption = "X" Then
Range("A1").Value = Range("A1").Value - 1
Me.btnFluency1.Caption = ""
End If
End Sub
Close the VBE and exit Design Mode by clicking the Design Mode icon in the Developer tab
Now, click the button. The button Caption will display "X", and cell A1 value will increment by +1. Click the button again and the Caption will be deleted and cell A1 value will decrement by -1.
Repeat this process for all command buttons, modifying the values to be added/subtracted per the column headers. Name each button similarly to the naming convention used above. Change the four "A1" references to the cell reference that will contain the total value.