Help us Serve You Better!

1. Gender

2. Race/Ethnicity

3. Marital Status

4. Age Range

5. What is your educational level? What is your spouses educational level?
 (Please check only one in each column)

Education Level Self Spouse
No Schooling
Some Elementary School
Some High School
High School Diploma
GED
Techincal School
Some College
Associate's Degree
Bachelor's Degree
Master's Degree
Post Graduate

6. Household Income

7. Number of children under age 12 living with you

8. Do you watch KGTF-TV, Channle 12?

9. How often do you watch?

10. Why do you like the programming that you find on KGTF? (Select all that apply)
Educational Informative Interesting EntertainingVariety Stimulating, Other

11. What is your favorite KGTF TV Program?
12. Do you have cable?

13. What Other Stations do you and your family watch on a regular basis?

14. Have you ever been a member of KGTF?

15. Do you use the "What's on KGTF" program guide?

16. What, if anything would you like to see changed about KGTF?

17. Additional Comments

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