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	Name: Address: City:     State:   Phone:     Zip:   Email:   Are you:  Male      Female Age Group:   Other 12-17 18-24 25-34 35-44 45-54 How long have you been listening to WHME 103.1 FM? Just discovered you Within the last 6 months More than 1 year 2 - 5 years Longer than 5 years Where do you listen to WHME 103.1 FM?     103.1 at home   Internet at home     103.1 at work   Internet at work     103.1 in car   How long do you listen to WHME 103.1 FM each day? About 15 minutes About 30 minutes About 1 hour About 3 - 6 hours More than 6 hours What are your three favorite programs? What are your three least favorite programs? What other radio stations do you listen to regularly? How often have you contacted or requested materials from one of our programs? All the time Once a month Occasionally Never Any comments?