* 1. In what ZIP code is your home located? (enter 5-digit ZIP code; for example, 00544 or 94305)

* 2. What is the primary way in which you watch PBS programming?

* 3. If you use cable or satellite, who is your provider? (Comcast, BrightHouse, DirecTV, DISH, etc.)

* 4. If you receive the following PBS services, on which channel number on your system do they appear?

* 5. Do you have access to any other public television services? If so, please list the services.

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