National Media Advisory Board Registration


Please answer the following questions:

Contact Information
First name
Last name
E-mail address
Password 1
Password 2 (confirm)
What is your age?
12-14
15-17
18-24
25-34
35-49
50-54
55-64
65 and older
What is your gender?
Male
Female
Which of the following do you have in your home? (Please select all that apply)
Cable TV
Satellite TV
Broadcast Antenna only (neither cable or satellite)
How many channels are available on the television set you usually watch?
Fewer than 20
20-39
40-59
60-79
80-99
100-149
150 or more
How many working television sets do you have in your home connected to cable or satellite?
1
2
3
4
5 or more
On average, how many hours per day over the past 30 days did you view television?
Less than 1 hour all week
Less than 1 hour a day but more than an hour a week
1 to less than 2 hours a day
2 to less than 3 hours a day
3 to less than 4 hours a day
4 to less than 5 hours a day
More than 5 hours a day
On average, how many hours per day over the past 30 days did you spend visiting websites for fun?
Less than 1 hour all week
Less than 1 hour a day but more than an hour a week
1 to less than 2 hours a day
2 to less than 3 hours a day
3 to less than 4 hours a day
4 to less than 5 hours a day
More than 5 hours a day
On average, how many hours per day over the past 30 days did you spend playing video games?
Less than 1 hour all week
Less than 1 hour a day but more than an hour a week
1 to less than 2 hours a day
2 to less than 3 hours a day
3 to less than 4 hours a day
4 to less than 5 hours a day
More than 5 hours a day
On average, how many hours per day over the past 30 days did you spend sending and receiving emails?
Less than 1 hour all week
Less than 1 hour a day but more than an hour a week
1 to less than 2 hours a day
2 to less than 3 hours a day
3 to less than 4 hours a day
4 to less than 5 hours a day
More than 5 hours a day
On average, how many hours per day over the past 30 days did you spend listening or downloading music online, on MP3 or CD?
Less than 1 hour all week
Less than 1 hour a day but more than an hour a week
1 to less than 2 hours a day
2 to less than 3 hours a day
3 to less than 4 hours a day
4 to less than 5 hours a day
More than 5 hours a day
On average, how many hours per day over the past 30 days did you spend listening to the radio?
Less than 1 hour all week
Less than 1 hour a day but more than an hour a week
1 to less than 2 hours a day
2 to less than 3 hours a day
3 to less than 4 hours a day
4 to less than 5 hours a day
More than 5 hours a day
Which of the following have you used in the past week? (Please select all that apply)
VCR Computer at home
DVD Player Computer at work or school
Dial-Up Internet Connection (not high speed) Hand Held Video Game Player
High Speed Cable Modem TV Connected Video Game Player
High Speed DSL Connection (phone company DSL) Computer Video Games
High Speed Wireless Internet via Sprint, Cingular, etc Digital Camera
Wi-Fi Wireless Internet Connection Blackberry
TiVo Brand Digital Video Recorder Treo
DVR (digital video recorder) in Cable or Satellite Set Top Box Earthlink
Video-on-Demand TV series Cell Phone
Video-on-Demand/Pay-per-View Movies Cell Phone with e-mail access
Pay Programming Service (such as HBO, Showtime and Starz-Encore) Cell Phone with Text Messaging
High Definition Television Set Cell Phone with Camera
iPod Audio Cell Phone with Video Player
iPod Video Cell Phone with Internet Connection
MP3 Player other than iPod Internet Phone Service (Vonage or Skype)
CD Player Cable Operator Provided Phone Service
Radio Nielsen Meter installed in your TV by Nielsen TV Ratings Service
Satellite Radio (XM or Sirius) Instant Messaging
Cable/Satellite Music Channels



Do you have a computer (including laptop) and TV in the same room in your home?
Yes
No
How often, if ever, do you visit websites of the TV networks and/or shows you watch?
Never
Occasionally
Frequently
For which of the following do you find the websites of the TV networks and/or shows to be a valuable resource? (Please select all that apply)
Information
Entertainment
Planning future viewing
Interaction and purchasing
Do you currently participate in any online communities, discussion groups, chat rooms or blogs about television networks and programming?
Yes
No
Are you interested in joining online communities, discussion groups, chat rooms or blogs about television networks and programming?
Yes
No
Maybe
Don't know
What are your primary sources for selecting TV programs to watch? (Please select all that apply)
On-screen cable or satellite guide
TV Guide Channel
TV Guide Magazine
TV Guide.com
EOnline.com
Other online TV listing service
Sunday newspaper TV guide supplement
Daily newspaper listing
Shows like Entertainment Tonight, Access Hollywood
Word of mouth
Radio
Promotions seen on TV for upcoming programs
Other (please specify)



Select up to 10 of your favorite television networks from the list below?
(Please select up to 10 television networks)
A&E HISTORY
ABC FAMILY LIFETIME
ABC-TV MTV
AMC MTV2
ANIMAL PLANET NATIONAL GEOGRAPHIC CHANNEL
BET NBC-TV
BRAVO NICK-AT-NITE
CARTOON/ADULT SWIM NICKELODEON
CBS-TV OUTDOOR LIFE NETWORK
CMT OXYGEN
CNN PBS
COMEDY CENTRAL SCI-FI
COURT TV SOAPNET
DISCOVERY SPEED CHANNEL
DISCOVERY HEALTH SPIKE TV
DISNEY CHANNEL SUPERSTATION WGN
E! ENTERTAINMENT TBS
ESPN TELEMUNDO
ESPN CLASSIC THE WB
ESPN2 THE WEATHER CHANNEL
FOOD NETWORK TLC
FOX NEWS CHANNEL TNT
FOX-TV TRAVEL CHANNEL
FX TVGUIDE CHANNEL
G4 TVLAND
GOLF UNIVISION
GSN (GAME) UPN
HALLMARK USA
HEADLINE NEWS VH1
HGTV WE



Select up to 20 of your favorite television programs from the list below?
(Please select up to 20 television programs)
20/20 Maui Fever
24 Medium
30 Days Meerkat Manor
30 Rock Men in Trees
48 Hours Mystery Mind of Mencia
60 Minutes Monk
7th Heaven MXC - Most Extreme Elimination Challenge
ABC Saturday Night College Football My Boys
According to Jim My Name Is Earl
All My Children Mythbusters
All of Us Nanny 911
Amazing Race Nashville Star
American Chopper NCIS
American Dad Nip/Tuck
American Idol Notes from the Underbelly
America's Funniest Home Videos Numb3rs
America's Got Talent One Life to Live
America's Most Wanted: America Strikes Back One Tree Hill
America's Next Top Model Oz
Are You Smarter Than a 5th Grader? Painkiller Jane
As the World Turns Pants Off, Dance Off
Battlestar Galactica Passions
Beauty and the Geek Prison Break
Big Brother Project Runway
Big Love Psych
Bones Pussycat Dolls Present: The Search for the Next Doll
Boston Legal Queer Eye for the Straight Guy
Breaking Up With Shannen Doherty Reno 911!
Bridezillas Rescue Me
Brothers & Sisters Road Rules
Buffy the Vampire Slayer Rock Star:Supernova
Campus Ladies Rome
Celebrity Poker Showdown Rules of Engagement
Chain Reaction Runaway
Close to Home Saturday Night Live
Cold Case Saved
Cops Seinfeld
Cory in the House Set for the Rest of Your Life
Cowboy U Sex and the City
Criminal Minds Shark
Crossing Jordan Showbiz Show with David Spade
CSI: Crime Scene Investigation Six Degrees
CSI: Miami Six Feet Under
CSI: NY Sleeper Cell
Curb Your Enthusiasm Smallville
Dan Rather Reports Snapped
Dancelife So You Think You Can Dance
Dancing with the Stars Sons of Hollywood
Dane Cook's Tourgasm South Park
Dateline Saturday SpongeBob SquarePants
Days of Our Lives Starface
Dead Like Me Studio 60 on the Sunset Strip
Deadwood Sunday Night Football
Deal or No Deal Supernanny
Design Star Supernatural
Desperate Housewives Survivor
Dexter Talk Sex with Sue Johanson
Dirt Talk Show with Spike Ferensten
Dirty Jobs Tease
Doctor Who The 4400
Driving Force The Agency
Engaged and Underaged The Apprentice
Entourage The Bachelor
ER The Bad Girls Club
Eureka The Biggest Loser
Everybody Hates Chris The Black Donnellys
Extreme Makeover: Home Edition The Bold and the Beautiful
Falcon Beach The Class
Family Guy The Closer
Flavor of Love The Colbert Report
Food Network Challenge The Contender
Football Night in America The Daily Show with Jon Stewart
Foxworthy's Big Night Out The Dead Zone
Friday Night Lights The Dresden Files
Friday Night Smackdown! The Ellen DeGeneres Show
General Hospital The Game
George Lopez The Hills
Ghost Hunters The Janice Dickinson Modeling Agency
Ghost Whisperer The Knights of Prosperity
Gilmore Girls The L Word
Girlfriends The Late Late Show with Craig Ferguson
Girls Behaving Badly The Loop
Good Eats The Naked Brothers Band
Grease: You're the One that I Want The New Adventures of Old Christine
Grey's Anatomy The Nine
Guiding Light The O.C.
Hannah Montana The Office
Hell's Kitchen The One: Making a Music Star
Heroes The Oprah Winfrey Show
House The Real World
How I Met Your Mother The Sarah Silverman Program
How to Get the Guy The Shield
Huff The Simple Life
I Love New York The Simpsons
Inside the Actor's Studio The Sopranos
Intervention The Suite Life of Zack & Cody
Iron Chef The Surreal Life
Iron Chef America The Tonight Show with Jay Leno
It's Always Sunny in Philadelphia The Tudors
Jericho The Unit
Jimmy Kimmel Live! The View
Kathy Griffin: My Life on the D-List The War at Home
King of Queens The Wedding Album
King of the Hill The Wire
Kyle XY The Young and the Restless
Laguna Beach Til Death
Las Vegas Top Design
Last Call with Carson Daly Trading Spouses: Meet Your New Mommy
Late Night with Conan O'Brien Two and a Half Men
Late Show with David Letterman Ugly Betty
Law & Order Veronica Mars
Law & Order: Criminal Intent Weeds
Law & Order: Special Victims Unit What About Brian
Little People Who Wants To Be A SuperHero?
Lost Wife Swap
Lucky Louie Wildfire
Made Windfall
MADtv Without a Trace
Making the Band Workout
Masters of Champions




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