Find the object you want to add a field to. For this one we are going to click "Account"
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Click "Fields & Relationships"
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Click "New"
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These are the field types you can add. Click the "Checkbox" field.
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Click Next
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Give your field a name, this is what will be displayed to the end user.
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Click the "Help Text" field.
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Click the "Description" field.
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Click this Next.
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This screen sets field level security for profiles. You can make the field visible and/or read only based on profiles. You can change this later as needed.
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You can immediately drop the field on page layouts in this screen. You can also do this later.