\documentclass[a6paper]{article}

\usepackage[utf8x]{inputenc}    
\usepackage[T1]{fontenc}

\usepackage[box]{automultiplechoice}    
\geometry{hmargin=2cm,headheight=2cm,headsep=.3cm,footskip=1cm,top=3cm,bottom=2.5cm}
\begin{document}


\onecopy{10}{    

\noindent{\bf BALLOT 1}

\vspace{2ex}\hrule\vspace{2ex}

\begin{question}{ballot1}
Choose no more than 4 out of the following choices:
\begin{choices}[o]\QuestionIndicative
\wrongchoice{A}
\wrongchoice{B}
\wrongchoice{C}
\wrongchoice{D}
\wrongchoice{E}
\wrongchoice{F}
\end{choices}
\end{question}

}   

\end{document}
