%%\listfiles
\documentclass[letterpaper, 10pt]{article}
\usepackage{palatino}
\usepackage{multido,graphicx,xcolor}
\pagestyle{empty}
\setlength{\textwidth}{7in}
\setlength{\textheight}{9in}
\setlength{\oddsidemargin}{-5mm}
\setlength{\evensidemargin}{-5mm}
\setlength{\topmargin}{-5mm}
\setlength{\headheight}{0pt}
\setlength{\headsep}{0pt}
\setlength{\footskip}{0pt}
\parindent=0pt
\newlength{\omrx}
\setlength{\omrx}{7mm}
%% identifying information
\newcommand{\infoline}{ACME NATURAL RESOURCES CORPORATION\\
Widget Development Project EIS\\
-- ENVIRONMENTAL / ECONOMIC / SOCIAL --\\
July 9, 2005}

%% number of questions (rows)
\newcommand{\nR}{28}

\color{blue!75}

\def\OLeft{\scalebox{1.2}[0.6]{\large O}}

\begin{document}

\sffamily

%% Header
\vspace{25mm}\parbox[b]{0.5\textwidth}{\infoline} %
\hfill
\parbox[t]{0.4\textwidth}{\includegraphics[scale=0.75]{aesi-logo}}

\vspace{5mm}

%% Participant group
\begin{minipage}[t]{\textwidth}{In general, I consider %
  myself to be \hspace{2ex}Supporting %
  \hspace{1cm} Neutral \hspace{1cm} Opposing \hspace{5mm} the project.}

\vspace{0.5ex}
\hspace{6cm} \makebox[7mm]{\OLeft} \hspace{1.8cm} %
\makebox[7mm]{\OLeft} \hspace{1.7cm} \makebox[7mm]{\OLeft}
\end{minipage}

\vspace{5mm}
%% Overall headings
\hspace{5mm} \makebox[9\omrx]{PREFER FIRST} %
\hspace{3.5cm} \makebox[8\omrx]{PREFER SECOND}

\vspace{2ex}

%% Put headings on columns
\hspace*{1.2\omrx}\multido{\nColumn=1+1}{9}{\makebox[\omrx]{\nColumn}}% 
\hspace*{3.2cm}\multido{\nColumn=2+1}{8}{\makebox[\omrx]{1/\nColumn}}

\vspace{1ex}

%% Make nR rows of ovals for answers
  \multido{\nRow=1+1}{\nR}{ %
     \makebox[\omrx]{\nRow}
     \multido{}{9}{\makebox[7mm]{\OLeft}} \hspace{3.2cm}
     \multido{}{8}{\makebox[7mm]{\OLeft}}\\[2mm] }


\vspace{1cm}
{\copyright 2005 Applied Ecosystem Services, Inc.}
\end{document}
