\documentclass[a6paper]{article}
\usepackage[insidebox,nowatermark]{automultiplechoice}    
\geometry{hmargin=2cm,headheight=2cm,headsep=.3cm,footskip=1cm,top=3cm,bottom=2.5cm}
\begin{document}
\AMCboxColor{red}
\AMCidsPosition{pos=none}

\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]{Option A}
\wrongchoice[B]{Option B}
\wrongchoice[C]{Option C}
\wrongchoice[D]{Option D}
\wrongchoice[E]{Option E}
\wrongchoice[F]{Option F}
\end{choices}
\end{question}

}   

\end{document}
