Please fill in this form and submit it to us.
You will then receive an e-mail inviting you to participate in the current Radio Swiss Pop music jury survey.
First name*: 
Last name*: 
E-Mail*: 
Country*: 
Post code*: 
Gender*: 
Year of birth*: 
Favourite radio station*: 
Radio station(s) you listened to during the last 7 days*: 



When do you usually listen
to the radio?*:
 




How long do you usually listen?*: 
Favourite style of music*: 





The information you submit to us will be used to further improve the music programming of Radio Swiss Pop. Your commentaries may be published on our web site
Thank you for your support.