TV Viewing Habits
Answers marked with a * are required.
 
1. Gender *
      

 
 
 
2. Age *
      

 
 
 
3. What is your occupation?
*
 
 
 
4. What form of television do you watch? *
      

 
 
 
5. When are you most likely to have time to watch television? *
      

 
 
 
6. What type of television shows do you like? *
      
 
 
 
7. What issues would you like to be discussed in a talk show? *
      
 
 
 
8. What innovations do you think would make a talk show more engaging? *
      

 
 
 
9. Based on your above response, name a specific topic that would appeal to you.
 
 
 
10. Please enter your e-mail for a chance to win one (1) plane ticket to any destination in West Africa:
 
 
 
 
 

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