Club Radio-Active

Thank you for signing up for the Club Radio-Active! Your opinion is very important to us.
Please fill out the following information so we may better track your listening preferences.
---The staff at Radio Shine.

Please note: By Federal law you must be 13 years of age or older to participate in these surveys.
Thanks!
First Name
Last Name
 
Email Address
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Street Address 1
Street Address 2
City
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Gender
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Date of Birth / /
 
Which of these stations have you listened to in the past week?
 Radio Shine
 Family Life Radio
 KFLR
 K-Love
 Air-One
 KJTA
 KYCC
 None of these
 
Of these stations, which would you consider your favorite?
 Radio Shine
 Family Life Radio
 KFLR
 K-Love
 Air-One
 KJTA
 KYCC
 
How much time do you spend listening to the radio on an average day?
 
Which styles of music do you really enjoy listening to? (check as many as apply)
 Urban/R&B (Kirk Franklin, Out of Eden, Mary Mary, Usher, Trinitee 5:7, Alicia Keys, etc.)
 Pop (Zoegirl, Stacie Orrico, Maroon 5, Jump5, Jessica Simpson, Newsboys, Avril Lavigne etc )
 Rock/Alternative (Santus Real, Pillar, Switchfoot, Linkin Park, Relient K, P.O.D., Hoobastank etc.)
 Hip-Hop/Rap (KJ 52, Toby Mac, G.R.I.T.S., OutKast, Cross Movement,DJ Maj, Kanye West, etc. )
 Adult Contemporary (Steven Curtis Chapman, Avalon, Point of Grace, Josh Groban, Mercy Me, Michael W. Smith, Mark Schultz, Casting Crowns, Norah Jones, Dido etc.)
 Praise & Worship (Hillsongs (Darlene Zschech), Matt Redman, Hillsong, Don Moen, Charlie Hall, Israel, Paul Balouche, Passion etc.)
 Country (Randy Travis, Reba McEntire, Billy Ray Cyrus, Toby Keith, Tim McGraw etc.)
 
Please check the box below to verify that you acknowledge the fact that you're signing up to occasionally participate in online music surveys from Radio Shine and that you will be sent email messages from us from time to time.
Accept    Do Not Accept
 
I am interested in participating in other national music surveys to give my opinion about the Christian music industry. (Checking "No" does not affect your ability to participate in the Club Radio-Active).
Yes    No
 
I am interested in being sent occasional information via email about other products/services that may be of interest to me (i.e. concerts, new music releases, artist interviews etc. (Checking "No" does not affect your ability to participate in the Club Radio-Active).
Yes    No
 

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