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*Click on the play button above and listen to a handful of song samples. Would you listen to a radio station that played this mix of music (i.e. music style) OFTEN, ONCE IN A WHILE or ALMOST NEVER/NEVER?
OFTEN (would be a favourite music station)ONCE IN A WHILE (would be a second favourite music station)ALMOST NEVER/NEVER
*Sex:
MaleFemaleOther/Not Specified
*Date of Birth:
Day
Month
Year
*Ethnic Background:
AfricanColouredIndianWhiteOther
*Home Language:
*City/Town:
If the City/Town was not listed above, please enter it in the space to the right:
*During a typical day, how many hours do you listen to the radio?
Less than 1 hour per day1 to 2 hours per day2 to 3 hours per day3 to 4 hours per day4 to 5 hours per dayMore than 5 hours per day
*When do you listen to the radio?
In the car on the way to work in the morningsDuring the day at the officeOn the way home in the afternoonsAt nightOn the weekends
The contact information you submit is confidential. It will only be used for Jacaranda 94.2 FM and will not be provided to any other party. Your participation in surveys and reception of emails depends exclusively on the information you provide to us in this application or subsequent modifications to your profile. Your personal information is being collected using technology provided by Media Score, and is being stored on computers maintained by Media Score. Federal law requires members must be at least 13 years old. Members are also required to provide truthful information. We will reject duplicate entries or any entry that we discover to be false or fraudulent.
