105.4 Century FM

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First Name

Last Name

Email Address

Gender

Female

Male

Birth Date

- - (Use 4 digits for the year)

Postal Code

In an average week, how much time do you spend listening to the radio?

Fewer than five hours per week
Five to 10 hours per week
More than 10 hours per week

Which of these stations have you listened to in the past week? (select all that apply):

105.4 Century FM
BBC Radio 2
Key 103
Smooth FM
BBC Radio 1
Radio CIty
Rock FM
Classic FM
BBC Radio 4
BBC Five Live
Virgin AM
BBC GMR
Galaxy 102
BBC Merseyside

Which of these stations is your overall favourite for music, the one you listen to most when you control the radio?

105.4 Century FM
BBC Radio 2
Key 103
Smooth FM
BBC Radio 1
Radio CIty
Rock FM
Classic FM
BBC Radio 4
BBC Five Live
Virgin AM
BBC GMR
Galaxy 102
BBC Merseyside

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