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First Name
Last Name
Email Address
Gender

Female

Male
Birth Date - - (Use 4 digits for the year)
City:
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
Which of these stations have you listened to in the past week? (select all that apply): Flava
Mai FM
Nui FM
The Edge
ZM
Other
Which of these stations is your overall favourite for music, the one you listen to most when you control the radio? Flava
Mai FM
Nui FM
The Edge
ZM
Other
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