The screen depends on the chice you made in the "How do you want the modifications to apply" step.
Create a new project
There are number of things that VB Watch can do for you additionally. Items are self-explanatory. Just choose from the list.
Note: About After Compilation: Do Default Action (as set in the Project Properties): click this box if you wish to execute what's set in the Project Properties dialog box, Debugging tab, under When this project starts.
Modify the current project
This is the same except that there are fewer options.