Thank you for listening to the Roger Hedgecock Show. We appreciate that you listen and look forward receiving your feedback in this brief survey. We are interested in giving you the best possible programming on Roger’s show, so please give us your honest appraisal of Roger’s show.

1

First name

2

Gender

M
F
3

What age group are you in?

12-17
18-24
25-34
35-44
45-54
55-64
65-74
75-84
Over 85
4

State:

5

Zip / postal code:

6

How often do you listen to the Roger Hedgecock Show?

Always
Frequently
Sometimes
Rarely
Never
7

Would you be interested in receiving occasional emails from the Roger Hedgecock Show?

Yes
No
8

If you’d like to receive occasional emails, to what email address should they be sent?