Loyal Listener Email Address Birthday City State Do you like to go out with friends Yes No When you go out you prefer(pick all that apply) Restaurants Sporting Events Travel Theater Movies Concerts Comedy Clubs Other Would you like opt in text to learn of contests giveaway prizes and special offers Yes No Do you listen to other Internet talk radio Yes No What are your favorite show topics Health Politics Entertainment Environmental Community News Magazine Shows Celebrity Gossip Spiritual Religious Automotive Relationship Self-Help Other When contacting Shows your favorite way to contact is Chat room Call in Texting Would you like to receive information via text messages Yes No Do you like to win prizes Yes No Are you active in Social networks Yes No Do you enjoy going to festivals Yes No Did you ever want to be on the radio Yes No
