The image you provide contains instructions for generating the characters used in Spanish, which are missing from English keyboards.
For your written responses, use the verbiage from the questions in your answer, and be sure to refer to this chart for special characters. To use them:
Step 1 : Make sure you have the "number lock" key on.
Step 2 : Hold down the "Alt" key and while holding it down type the Alt Code below you need.
Alt + 0193 =>Á
Alt + 0201 =>É
Alt + 0205 =>Í
Alt + 0211 =>Ó
Alt + 0218 =>Ú
Alt + 0225 =>á
Alt + 0233 =>é
Alt + 0237 =>í
Alt + 0243 =>ó
Alt + 0250 =>ú
Alt + 164 =>ñ
Alt + 165 =>Ñ
Alt + 173 =>¡
Alt + 168 =>¿
Warning! : that list that you provide in this image is incomplete because the u with a diaeresis is missing. It is necessary to write some Spanish words.
Alt + 0220 => Ü
Alt + 0252 => ü
Example : Cigüeña means stork
Hope this helps!