General Information:
First Name:
Last Name:
Province:
[Choose One]
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Northwest Territories
Nova Scotia
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon Territory
Email Address:
*Please check your email is correct. If you win a prize we need to be able to contact you.*
Age:
[Choose One]
18 - 24
25 - 34
35 - 49
50 - 59
60 +
Gender:
Male
Female
Would you like to receive our programming alerts?
The Survey
1. Who is your television service provider?
[Choose One]
Rogers
Bell ExpressVU
Cogeco
MTS
NorthwesTel
Mountain Cable
Source
Videotron
StarChoice
Access
Telus
Shaw Cable
Other
2. What is the total combined income of all members of your household before taxes ?
[Choose One]
less than $25,000
$25,000 to $49,999
$50,000 to $74,999
$75,000 to $99,999
$100,000 to $124,999
$125,000 to $149,999
$150,000 to $200,000
greater than $200,000
3. What is the highest level of education you have completed ?
[Choose One]
Secondary Or High School Graduation Certificate
Trades Certificate Or Diploma
Other Certificate Or Diploma Obtained At Community College
College Of Applied Arts Or Technology, CEGEP, But Not Including university
University Certificate Or Diploma Below Bachelor Level
Bachelor's Degree(s) (Example: B.A., B.Sc., B.A.Sc., LLB.)
University Certificate Or Diploma Above Bachelor Level
Master's Degree(s)
Degree In Medicine, Dentistry, Veterinary Medicine Or Optometry
Earned Doctorate (Example: Ph.D., D.Sc., D.Ed.)
4. Which one of the following best describes your current occupation ?
[Choose One]
Management occupations
Business, finance and administrative occupations
Natural and applied sciences and related occupations
Health occupations
Occupations in social science, education, government service and religion
Occupations in art, culture, recreation and sport
Sales and service occupations
Trades, transport and equipment operators and related occupations
Occupations unique to primary industry
Occupations unique to processing, manufacturing and utilities
Homemaker
Student
Retired
Currently Unemployed
5. Which one of the following best describes how you first found out about bpm:tv ?
[Choose One]
information from my tv provider
heard about it from friends or family
just happen to notice it while watching tv
read about it in the newspaper or magazine article
heard about it on the radio
saw an advertisement on tv for it
saw an advertisement for it in newspaper or magazine
found out about it from the internet
currently not a subscriber
6. Which of these products do you currently own ?
(Please choose all that apply)
iPod
Cell phone
Blackberry
Laptop computer
MP3 Player
Gaming console (last-gen - Xbox, PS2, Gamecube)
Gaming console (next-gen - Xbox360, PS3, Wii)
7. Which do you plan on purchasing in the next 12 months ?
iPod
Cell phone
Blackberry
Laptop computer
MP3 Player
Gaming console (last-gen - Xbox, PS2, Gamecube)
Gaming console (next-gen - Xbox360, PS3, Wii)
8. Which of these do you use or purchase regularly ?
cosmetics
electric razor
disposable razor
permanent razor with replacement blades
shaving cream or gels
mens aftershave lotions
facial moisturizers
facial cleansers
hair colouring products
hand and body cream / lotion
visit hair salon
visit beauty salon or spa
hair gels or mousses
hair sprays
body wash
women or men's perfume or cologne
breath fresheners
mouthwash
lip balm
9. Which if these beverages do you drink regularly ?
soft drinks
fruit drinks
energy / sports drinks
domestic beer
imported beer
sparkling water / mineral water
non-carbonated bottled water
wine
coolers
prepared mixed drinks with liquor
10. Which of the following do you use regularly ?
Condoms
Spermicidal Foams/Creams/Jellys
Birth control pills
Birth Control Patch
None
11. How many hours do you typically spend watching TV per week ?
[Choose One]
less than 5
6 to 10
11 to 15
16 to 20
21 to 25
26 to 30
more than 31
12. How many hours do you typically spend watching bpm:tv per week ?
[Choose One]
less than one
1 to 5
5 to 10
10 or more
Not currently a Subscriber
13. Overall , would you say you are watching bpm:tv more often, less often, or about
the same as 6 months ago ?
More often
Less often
About the same
Not currently a Subscriber
14. In comparison to all other TV programs you personally watch on any
channel, how do you overall rate each of the following bpm:tv programs:
HOT 20
-
[Choose One]
5 - Favourite
4 - Above Average
3 - Average
2 - Below Average
1 - Least Favourite
bpm:tv presents... -
[Choose One]
5 - Favourite
4 - Above Average
3 - Average
2 - Below Average
1 - Least Favourite
BACK @ YA! -
[Choose One]
5 - Favourite
4 - Above Average
3 - Average
2 - Below Average
1 - Least Favourite
electronica -
[Choose One]
5 - Favourite
4 - Above Average
3 - Average
2 - Below Average
1 - Least Favourite
Remixed, Remade, Remodeled -
[Choose One]
5 - Favourite
4 - Above Average
3 - Average
2 - Below Average
1 - Least Favourite
15. What other types of programs do you watch regularly ?
Fashion / Beauty
Food / Cooking
Music Videos
General News and Information
Sports
Documentaries / Biographies
History
Movies
Reality TV
Comedy
Business News
Talk Shows
Soap / Serial Dramas
16. Would you be interested in the option of subscribing to bpm:tv via the
internet ?
Yes
No
Not sure
What specifically can bpm:tv change to interest you in watching more ?
*Please make sure you have answered all questions.*