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 Enter your email address 5 Your birthdate Month 1 - Jan 2 - Feb 3 - Mar 4 - Apr 5 - May 6 - Jun 7 - Jul 8 - Aug 9 - Sep 10 - Oct 11 - Nov 12 - Dec Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 6 Gender Male Female 7 From this list of radio stations, what stations do you listen to in a typical week? (Select all that apply.) Life 97.3 Refuge Radio Faith 90.5 Minnesota Public Radio 92.1 The Fan 95 KQDS My 95.7 Legends Rock 96.5 WDSM Kat Country 98.9 Kool 101.7 102.5 Duke FM KDAL The Current B105 Sasquatch 106.5 Mix 108 8 From this list of radio stations, which station do you listen to most? (Select one.) Life 97.3 Refuge Radio Faith 90.5 Minnesota Public Radio 92.1 The Fan 95 KQDS My 95.7 Legends Rock 96.5 WDSM Kat Country 98.9 Kool 101.7 102.5 Duke FM KDAL The Current B105 Sasquatch 106.5 Mix 108 9 How much radio listening,all radio stations you hear,do you do in a typical day? Less than 1 hour 1 to 3 hours More than 3 hours 10 Approximately what percent of your radio listening is to Life 97.3 in a typical day? Less than 25% About 25% About 50% About 75% 100%