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First Name
Last Name
Email Address
Gender

Female

Male
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
Which of these stations have you listened to in the past week? (select all that apply): Real Radio
Clyde 1 FM
Clyde 2
Forth One
Forth Two
BBC Radio Scotland
105.2 Smooth Radio
Galaxy
BBC Radio 1
BBC Radio 2
96.3 Rock Radio
BBC Radio 4
BBC Five Live
Classic FM
Absolute Radio (was Virgin Radio)
Talk Sport
Other
Which of these stations is your overall favourite for music, the one you listen to most when you control the radio? Real Radio
Clyde 1 FM
Clyde 2
Forth One
Forth Two
BBC Radio Scotland
105.2 Smooth Radio
Galaxy
BBC Radio 1
BBC Radio 2
96.3 Rock Radio
BBC Radio 4
BBC Five Live
Classic FM
Absolute Radio (was Virgin Radio)
Talk Sport
Other
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
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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