General Information Political/World Affairs Journalists Authors Miscellaneous
Dear Subscriber:

The information requested on this form will be very helpful in tailoring the Pittsburgh Speakers Series to your interests.

Your feedback is sincerely appreciated.
 
Please indicate your gender:  Male  Female

Education completed:

Profession:		      
Banking/Financial Business (self-employed) Engineering Media
Biotechnology Computers/High Tech Healthcare Real Estate
Business (corporate) Education (K-12)  Homemaker  Other: 
Business (retail) Education (higher) Law Retired from: 

Interests:		      
 World Affairs  Books/Authors  History  Environment
 American Politics  Entertainment  Business  Sports
 Current Events  The Arts  Science  Other:

Political Party:		      
 Republican  Democrat  Independent  Other: 

2009-2010 Speakers' Evaluations:
  Did you attend?   Evaluation of Speaker   Would you like to hear again?
  Yes No Poor Fair Good Excellent Outstanding Yes No
Pervez Musharraf
Jean-Michel Cousteau
Laura Bush
Robert Reich
Mia Farrow
David Brooks
Greg Mortenson

New Subscribers Only: How did you hear about the Speakers Series?
 Brochure in the mail  New York Times WDUQ, 90.5 FM (NPR)  
 Referred by someone Pittsburgh Magazine KQV, 1410 AM (News)  
 Robert Morris University Pittsburgh Jewish Chronicle Playbill  
Was a guest at a lecture  Pittsburgh Tribune Review Ross Park Mall  
 Pittsburgh Post-Gazette  Pittsburgh Chamber of Commerce KDKA, 1020 AM (CBS)  
 Pittsburgh Quarterly WQED, Multimedia    

From which source do you most frequently get your news?
 TV  Radio  Newspaper  Internet


Of the following, which television stations do you watch for news?
   KDKA (CBS 2)  WPXI (PCNC 11)  WTAE (ABC 4)  FOX
  CNN MSNBC WQED (PBS 13) Other: 


Of the following, which radio stations do you listen to?
 WQED, 89.3 FM KQV 1410 AM (News)
   WWSW, 94.5 FM (3ws)  WSHH, 99.7 FM (WISH 99.7)
   WDUQ, 90.5 FM (NPR) KDKA, 1020 AM (NewsRadio)
  WLTJ, 92.9 FM (Q92) Other: 


Of the following, which newspapers do you read?
   Pittsburgh Post-Gazette  Pittsburgh Tribune Review  I don't read the paper
   New York Times  Wall Street Journal  Other:  
   Washington Post  USA Today  


Which day of the week do you read the newspaper?
   Sunday  Tuesday  Thursday  Saturday Weekends Only
   Monday  Wednesday  Friday  Everyday  


Of the following, which internet sites do you visit for news?
   KDKA.com  Post-Gazette.com KQV.com thePittsburghChannel.com
   PittChron.com  PittsburghLive.com WDUQ.com Other:  


Of the following, which internet sites do you visit for local entertainment?
   Pittsburgh.net PittsburghLive.com  Post-Gazette.com  Other:  

How would you rate the customer service that you received from the Heinz Hall staff?
 Excellent  Very Good  Good  Fair  Poor

Why do you like the Speaker Series?
 

Do you have any other comments/suggestions?

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