Save checkbox value to a database when clicked?

Use jQuery and the SharePoint web services - attach a click handler to the checkboxes and include code that finds the item id from the same row - easy enough to locate in firebug.

YOu could use jQuery, add a click event to all checkboxes with jQuery, and have the click event perform an AJAX call to webservice you write and deploy to Sharepoint. You can use the Content Editor Webpart to inject Javascript in the page. Deploy the webservice as a feature.

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