CPA-TV Viewer Survey



Name

First

Last
Email
Phone Number

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Which City TV channels do you watch?
(hold down "Ctrl" or "Command" to select more than one)
How often do you watch these TV channels?
 Once a week 
 Twice a week 
 Three or more times a week 
(please choose one)
What kind of TV programs do you usually watch?
(please describe)
What kind of programs would you like to see on these channels?
(please describe)
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