1
First name:
2
Last name:
3
Gender:
Male
Female
4
Zip/postal code:
5
Email address:
6
Birthdate:
Month Day Year
7
From this list of radio stations, what stations do you listen to in a typical week? (Select all that apply)
Christian (UCB)
Country
Top 40
Oldies
Adult Contemporary
Classic Rock
Other
8
From this list of radio stations, what station do you listen to most? (Select one)
Christian (UCB)
Country
Top 40
Oldies
Adult Contemporary
Classic Rock
Other
9
How much time do you spend listening to the radio in typical day?
30 minutes or less
1-2 hours
2-4 hours
4 hours or more
10
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Yes
No