Simply fill in the blanks (all blanks are required) and you'll be registered to give us your opinions. It's that easy!

1

 

Your first name

2

 

Your last name

3

 

Your zip code

4

 

What county do you live in? Select one.
Brown
Marinette
Oconto
Fond Du Lac
Door
Outagamie
Winnebago
Sheboygan
Manitowoc
Shawano
Waupaca
Other (please specify)

5

 

Enter your email address

6

 

Your phone number:

7

 

Your birthdate
Month Day Year

8

 

Gender
Male
Female

9

 

From this list of radio stations, what stations do you listen to in a typical week? (Select all that apply.)
101 WIXX-FM
95.9 KISS-FM
98.5 Star 98
Y100 WNCY-Fm
Razor 94.7
106.7 Cruise
WAPL 105.7
WROE 99.7/94.3

10

 

From this list of radio stations, which station do you listen to most? (Select one.)
101 WIXX-FM
95.9 KISS-FM
98.5 Star 98
Y100 WNCY-Fm
Razor 94.7
106.7 Cruise
WAPL 105.7
WROE 99.7/94.3

11

 

How much radio listening — all radio stations you hear — do you do in a typical day?
Less than 1 hour
1-3 hours
More than 3 hours

12

 

Approximately what percent of your radio listening is to 101 WIXX-FM in a typical day?
Less than 25%
About 25%
About 50%
About 75%
100%

13

 

Have you been taking surveys for the 101 Club reward points?
Yes
No

14

 

How many total Club 101 points do you like to have?
0 - 500,000
500,000 - 1,000,000
1,000,000 - 2,000,000
2,000,000 or more

15

 

Are you currently a member of our Listener Advisory Board?
Yes
No
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