Trying to create a form with 3 columns

I am trying to recreate a form digitally for a client. Their current displays 3 columns. Headers on the last two columns. Then column 1 is for description/title while column 2 and 3 need to be fields.

[1/3:empty] [2/3:header] [3/3:header]
description field field
description field field
description field field
etc…

I am also including a screen grab of the section I am trying to recreate with gravityforms.

Thanks to anyone for their input.

Here’s the approach I’ve taken with tabular data like this. There are (or have been) plugins out there to do the auto-calculations on columns—I do have links at the moment for those.