I need to collect reports from 150+ agencies on their performance per month. The form that I need they to fill in looks like this. I would like do this on Google Forms as I need the link to be accessed easily as possible. And, please also help so that these data can be put into a sheet that resembles the form.
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If this cannot be done on Google Form, it’s ok as long as the form will be easy to send out and the date can be put into one final sheet of data.

I have tried Google Form but could not figure how to setup such a form. Thanks a lot if someone can help me out.