Remember this election? Bush and Gore were so close in the Florida vote that a recount was required: the outcome would determine who would become president. Here is what the ballot looked like. Take a close look at it from a design perspective.
There is indeed a major problem with this form: check your answer with the problem that was reported.
And just for fun... here is a joke ballot written in French.
Example pointed out by Student Danny Wong. Commentary are written by Saul Greenberg