| Name: | |
| E-Mail: | |
| Select Your Favorite Types of Music: | |
|---|---|
| Pop | Classical |
| Rock | Folk |
| Rap | Other |
| Select how often you purchase Music CDs: | |
| Weekly | A few CDs each year |
| Monthly | Never purchase |
| Select the locations you listen to CDs: | |
| What role does music play in your life? | |