Yes, there has to be a field in the table for each column
in the Excel spreadsheet. Call the fields in the Table
the same as the names of the columns. Also! Include a
field that you set as the Autonumber field, name it
whatever you want. When you import the Primary Autonumber
field will automatically populate with the autonumber for
each record.
I tried this in Access 2000 and it worked quite
successfully.
Good Luck!