The easiest way is to use either phpMyAdmin or mySQL GUI tools to directly edit the database. You should look for tables called wp_actionable and wp_actionable_categories (wp_ is the default WordPress database prefix - if you have changed this look for the table names with your prefix.) Create some categories in _actionable_categories first then create some actions in _actionable_actions assigning actionable_id in _actionable_categories to actionable_cat in _actionable_actions for the appropriate action.
The next release will allow for category and action creation from the admin panel
Yes, just edit the file wp-content/plugins/actionable/css/styles.css.




