| First Name | | |
| Last Name | |
| Email Address | |
| Gender | |
| Birth Date | - - (Use 4 digits for the year) |
| Postal Code | |
| In an average week, how much time do you spend listening to the radio? | Fewer than five hours per week
Five to 10 hours per week
More than 10 hours per week
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| Which of these stations have you listened to in the past week? (select all that apply): | 102.1 The Edge
104.5 CHUM FM
92.5 Jack FM
Mix 99
Z 103
Flow 93.5
Q107
Classical 96.3
98.1 CHFI
97.3 EZ Rock
AM 740
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| Which of these stations is your overall favourite for music, the one you listen to most when you control the radio? | 102.1 The Edge
104.5 CHUM FM
92.5 Jack FM
Mix 99
Z 103
Flow 93.5
Q107
Classical 96.3
98.1 CHFI
97.3 EZ Rock
AM 740
|
| How likely would you be to listen to a radio station that plays "Alternative Rock Music" by artists and groups like "The Red Hot Chili Peppers, Coldplay, Nirvana, U2, The Killers, and Audioslave?" | |
| How likely would you be to listen to a radio station that plays "Hip Hop Music" by artists and groups like "Eminem, 50 Cent, Outkast, and K-Os?" | |
| Thinking of the two types of radio stations we just described, which would be your Favorite type of Station? The one you would listen to MOST? | |
| How often do you send/receive email? (personal and/or business): | More than once per day
Once per day
A few times per week
Once per week
A few times per month
Once per month
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| How often do you surf the web? | More than once per day
Once per day
A few times per week
Once per week
A few times per month
Once per month
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| Comments about 102.1 The Edge: | |
| You agree to receive email from us containing: | Invitations to participate in online music surveys.
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