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* 1. How frequently does your household use the Internet for the following:

  Daily Frequently Occasionally Never Do not have Internet
Social Networking (i.e. Facebook)
Homework
Check the weather or news
Browse or surf the web
Download Music
Watch or downloading Video or TV streaming
Online Gaming
Send or read e-mail
Shop Online
Upload photos, videos, music etc.

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* 2. Beginning April 1st which of the following best describes your Internet service experience?

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* 3. Which categories of programming are most watched in your home? Select your top 2.

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* 4. If you could select additional channels from any category, which would you choose? Select your top 3.

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* 5. If MTC were to add channels, are you comfortable with a $5.00-$10.00 price increase?

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* 6. Please rank each channel as follows: 1= Frequently Watch, 2= Rarely Watch, 3= Never Watch

  Frequently Rarely Never
2 Local Content
3 NBC
4 TBS
5 Kansas CW
6 My Network TV
7 Fox Wichita
8 PBS Wichita
9 PBS Explore
10 ABC
11 ABC Family
12 CBS
13 USA
14 CNN
15 C-Span
16 The Weather Channel
18 Discovery
19 JCTV
20 GAC
21 ESPN
22 PBS Create!
23 ESPN-2
24 HGTV
25 AMC
26 History
27 Sci-Fi
28 HLN
29 Lifetime
30 Disney
31 OVC Home Shopping
32 CNBC
33 C-Span 2
34 Food Network
35 TLC
36 TBN
38 TNT
40 A&E
41 KWCH Storm Team Weather
42 More Max
43 HBO-2
44 HBO
45 Cinemax
95 Smile of a Child

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* 7. Please indicate the appropriate number of the following:

  Zero One Two Three Four Five or More
# of people in household
# of television sets in household

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* 8. What is your age category?

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* 9. Do you have any additional comments, thoughts or information you would like to share with MTC?

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* 10. Please enter your information in the space below to be entered into the drawing for a $25 Visa Gift Card.

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