\documentclass[a4paper]{article}

\usepackage[bloc,completemulti]{automultiplechoice}    
\begin{document}

\def\truefalseanswer{{%
  \def\AMCbeginAnswer{\penalty0\hbox{}\nobreak\dotfill\hbox\bgroup}%
  \def\AMCendAnswer{\hspace{-3mm}\egroup}%
  \def\AMCanswer##1##2{##1 ##2\hspace{3mm}}%
  \begin{choicescustom}[o]%
    \correctchoice{True}\scoring{1}%
    \correctchoice{False}\scoring{0}%
  \end{choicescustom}
}}


\onecopy{10}{    

%%% Header

\noindent{\bf SURVEY  \hfill TEST}

\vspace*{.5cm}
\begin{minipage}{.4\linewidth}
\centering\large\bf Survey\end{minipage}
\champnom{\fbox{    
                \begin{minipage}{.5\linewidth}
                  Name :

                  \vspace*{.5cm}\dotfill
                  \vspace*{1mm}
                \end{minipage}
         }}

\vspace{2ex}

%%% 

\begin{question}{MAI1}\QuestionIndicative
	\scoring{v=-1,e=-2}
	I ask myself periodically if I am meeting my goals
        \truefalseanswer
\end{question}

\begin{question}{MAI2}\QuestionIndicative
	\scoring{v=-1,e=-2}
	Do you think this text is too long for the line and the boxes together?
        \truefalseanswer
\end{question}

\begin{question}{MAI3}\QuestionIndicative
	\scoring{v=-1,e=-2}
	Sure?
        \truefalseanswer
\end{question}

}   

\end{document}
