\documentstyle[12pt,twoside]{article}
\input{macros-course}
\begin{document}

\handout{handback}{Information Sheet}{December 12, 1995}

\def\lineitem#1{
\hbox to \hsize
  {\hbox{#1} \hrulefill }
\bigskip}

\begin{center}

\lineitem{Name}


Please circle one of the following: 
\vskip 0.7in

{\large I}
\vskip 0.2in
{\Large
\qquad have taken  \qquad am taking  \qquad will take }
\vskip 0.2in

{\large 6.041.}

\end{center}

\end{document}

