2. What kinds of programs do you enjoy listening to? (Check all that apply.)

Talk Shows Music Local News Other: (Please Specify)

3. Are there programs from other radio stations that you would like to hear on KAVZ? (Please describe the show in the space provided)

4. What kind of music would you like to hear? (Check all that apply)

Classical Rock Jazz Blues Country

Other: (Please specify)

5. How would you like to get involved with KAVZ? (Check all that apply, if any)

I would like to make annual contributions to help keep KAVZ on the air.

I would like to produce a show. (This is easy to do, and we will provide plenty of support!)

I would like to produce a reocurring radio show. (This is a show that would air daily or weekly)

Other: (Please specify in the space below)

6. Please help us create a signal coverage map by telling us where you have heard KAVZ. (For example "Acme" or "IGA") Use the space below.

7. If you like, you can provide us with your contact information. This is completely optional, but if you would like to become involved with KAVZ it would be appreciated if you provided it.

Name: Address:

City: Zip: Phone:.

Email:

When you are finished, click Submit. Click Clear to reset the survey.