Radio Lifestyle Survey

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1. Please fill in the following and we will send you idea's on how to take the lead using the right Radio Station's and Radio station assets (on-air, online, email, surveys, events, streaming, video, etc.) that will best engage your target customer based on their lifestyle choices.

Please fill in the following and we will send you idea's on how to take the lead using the right Radio Station's and Radio station assets (on-air, online, email, surveys, events, streaming, video, etc.) that will best engage your target customer based on their lifestyle choices.   Name:
Company:
Address:
City/Town:
State:	-- select state --AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming
ZIP/Postal Code:
Country:
Email Address:
Phone Number:

2. Target Gender(s)

Target Gender(s)   Male Female Both equally Both leaning male Both leaning female

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3. Marital Status & Family

Marital Status & Family   I am interested in B-to-B contacts Single Single with Child(ren) Divorced Divorced with Child(ren) Married Married with Child(ren) Partners living together with Child(ren) Partners living together

Other (please specify)

4. Target Age - Check all that apply

Target Age - Check all that apply   18-24 25-34 35-44 45-54 55-64 65+

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5. Household Income - Check all that apply

Household Income - Check all that apply   25,000 - 35,000 36,000 - 45,000 46,000 - 55,000 56,000 - 65,000 66,000 - 75,000 76,000 - 85,000 86,000 - 95,000 100,000 - 150,000 160,000 - 249,000 250,000 + Interested reaching business (please specify below)

Other (please specify)

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6. Daily Transportation - Check all that apply

Daily Transportation - Check all that apply   Own one car Own multiple cars Motorcycles Ride-a-bike Use Public Transportation Commutes to work everyday by car

Other (please specify)

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7. Home Life -

Home Life -   I am interested in B to B only Avid reader Go to church/spiritual Children Teens College students Grand Children Home Decor & Furnishings Gardening Gaming Shop locally Rent movies Dines local restaurants/Fast food Uses the Internet for Shopping Uses the Internet for research Own a Cat Own a Dog Home Office Own a Home Rent

Other (please specify)

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8. Good Life & Technology

Good Life & Technology   Wine enthusiast Micro brew enthusiast Specialty Liquors Night clubs Country Dancing Frequent flyer Travel in Oregon Travel US and abroad Fine/Organic Foods Fine Dining Arts & Entertainment (concerts, plays, lectures, opera, art shows) Go to Movies Fashions/Clothing Beauty Services (Hair, Anti-Aging, SPA treatments, Plastic Surgery) Own a PC Own an Apple Own a DVR Own a Digital camera Own Music digital device Own a Blackberry Own an iPhone Electronics & Home Theater Use a Mobile Phone Buyer of Cutting edge anything

Other (please specify)

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9. Sports,Fitness,Health

Sports,Fitness,Health   Go to College Athletic Events Go to Pro-Athletic Events Plays in League Sports Enjoys personal sports for health (running, walking, jogging, swimming) Plays Tennis Plays Golf Belongs to Gym Diets/weight control Alternative Medicine Health Foods/Vitamins Watches Sports on TV Snow Skiing

Other (please specify)

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10. Great Outdoors

Great Outdoors   Boating/Sailing Hiking/Camping Hunting/Shooting Recreation Vehicles Horseback Riding Wildlife Environment Fishing Frequently

Other (please specify)