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

The information requested on this form will be very helpful in tailoring the Saint Louis 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
Thomas Friedman
Greg Mortenson

New Subscribers Only: How did you hear about the Speakers Series?
 Brochure in the mail  Jewish Light KWMU, 90.7 FM (NPR)  
 Referred by someone RCGA/Commerce Magazine Internet Display Ad  
 Maryville University KFTK, 97.1 FM (Fox Radio) Playbill  
Was a guest at a lecture  West NewsMagazine Internet/Web search  
 Post-Dispatch  Ladue News New York Times  
 KETC Guide KETC Channel 9 (PBS)    

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?
   KSDK (NBC 5) MSNBC  KTVI (Fox 2)  
  CNN  KMOV (CBS 4) FOX  
   KPLR (CW 11) KDNL (ABC 30) Other:   


Of the following, which radio stations do you listen to?
 KWMU, 90.7 FM (NPR)  KDHX, 88.1 FM (Community Radio)
   KEZK, 102.5 FM (Soft Rock) KFTK, 97.1 FM (Fox Radio)
   KYKY, 98.1 FM (Y98) Other: 
  KLOU, 103.3 FM (Greatest Hits from the past)  


Of the following, which newspapers do you read?
   St. Louis Post-Dispatch Riverfront Times  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?
   KSDK.com RiverfrontTimes.com Other: 
   STLBeacon.org  STLToday.com  
  Fox2Now.com KMOV.com  


Of the following, which internet sites do you visit for local entertainment?
   Metromix.com  STLToday.com  KSDK.com  Fox2Now.com Other:

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

Why do you like the Speaker Series?
 

Do you have any other comments/suggestions?

Name, Address/Email: *All information supplied is strictly for internal use only and will not be sold or shared