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2011
June
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Myth Busters Survey
Myth Busters Survey
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Hello:
You are invited to participate in the Gridley Cable Satellite Myth Busters Survey. All questions must be answered to be eligible for the drawing of the $100.00 Visa Gift Card.
Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. You may withdraw from the survey at any point.
However, it is very important for us to learn your opinions.
Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact Gridley Cable at 747.2221.
Thank you very much for your time and support. Please start with the survey now by clicking on the
Continue
button below.
*
Do you currently subscribe to Gridley Cable TV service?
Yes
No
*
Are you under contract with another Television Provider?
No
Yes - Direct TV
Yes - Dish Network
Other
If you are under contract, when does your contract expire?
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01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
--
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
--
2024
*
Would you like to be contacted by Gridley Cable when your contract is expiring?
Yes
No
Other
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First Name
:
Last Name
:
Address 1
:
Address 2
:
City
:
State
:
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Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
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Louisiana
Maine
Maryland
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Michigan
Minnesota
Mississippi
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Montana
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New York
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Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
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District of Columbia
Zip
:
Phone
:
Email Address
:
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