Please tell us about yourself.
1
What is your first name?
2
What is your last name?
3
What is your zipcode?
4
What is your email address?
5
Please tell us your phone number (including area code):
6
What is your birthdate?
7
What is your gender?
8
From this list of radio stations, what stations to you listen to in a typical week?
9
From this list of radio stations, which station do you listen to most?
10
How much radio listening — all radio stations you hear—do you do in a typical day?
11
Approximately what percent of your radio listening is to WQMX-FM in a typical day?

Now it’s time to begin the survey. You don’t need to complete the survey in one sitting although you can if you want. You’re free to take a break from time to time and return to the survey. It will take approximately 1.5 hours total to listen to a little bit of each song and give us your opinions. Remember, 100 random people that complete the entire survey within 5 days will receive $25 in cash. All of the people who complete the survey in 5 days will be eligible for the grand prize drawing of a 32 inch flat screen TV!