\documentclass{article}
\usepackage{fullpage}
\title{Soviet Russia tea tasting}
\author{Tester: \underline{\hspace{1.5in}}}
\date{Date: \underline{\hspace{1.5in}}}

\newcommand{\tearow}[1]{#1 & & & \\[0.5in]\hline}
\begin{document}
\maketitle

\noindent
Round: \underline{\hspace{2in}}\\
Tea: label of the tea being tested\\
Rating: 1-10, 1=bad, 10=great\\

\noindent
\begin{tabular}{|l|l|p{2in}|p{3in}|}
\hline
Tea & Rating & Guess & Comments \\\hline
\tearow{A}
\tearow{B}
\tearow{C}
\tearow{D}
\tearow{E}
\tearow{F}
\tearow{G}
\tearow{H}
\end{tabular}

\end{document}
