How to fill checkboxes and radiobuttons within one Jira task?

[Alexey 'knari' Gerasimovich]

I have the following task: periodically we need to ask managers what access rights to grant to particular subordinates.

Actually, we have a list of resources and roles there (for some of the resources). If the resource has several roles, an employee can have 1 or more roles (checkboxes). For other resources, he/she either has access or not.

The task is to ask a manager what kind of resources and with what roles to grant. It means he/she has to check them in the list.

Is there any cool way to implement it as one Jira task?