Registration Form

Thanks for wanting to make your opinions heard! Just fill out the form below and you'll be registered to participate. Thanks!

First name:

Last name:

Username:
(Please choose your own unique username. Use any combination of letters and numbers but don't leave any blank spaces.)

E-mail address:

Password:
(Please choose your own unique password. If it's easier to remember, you can enter your e-mail address in here again as your password.)

What type of Internet connection do you have?

Do you, or does anyone in your household, work for an advertising agency, a market research company, a film studio, a or a company involved with the exhibition or distribution of films or television shows?

Yes
No

What is your birthdate?

Day Month Year

Your gender?

Male
Female

How often do you go to the cinema these days?

Once a week or more often
2 or 3 times a month
Once a month
Once every 2 to 3 months
2 to 3 times a year
Less often
Never go these days

Which types of films do you like to see in the cinema?
(Choose all that apply)

Action Adventure (like Spider-Man, Lord of the Rings)
Action (like Collateral Damage, xXx)
Drama (like Black Hawk Down, A Beautiful Mind)
Family (like Shrek, Harry Potter & The Philosopher’s Stone)
Romantic Comedy (like Bridget Jones’s Diary, About a Boy)
Romantic Drama (like Unfaithful, Captain Corelli’s Mandolin)
Horror (like Scream, The Others)
Suspense Thriller (like Hannibal, Insomnia)
Science Fiction (like Final Fantasy, Star Wars: Attack of the Clones)
Teen Comedy (like American Pie 2, There’s Something About Mary)
Comedy (like Mr Deeds, Austin Powers Gold Member)
Arthouse (like Crouching Tiger Hidden Dragon, Last Orders)
Australian Movies (like The Dish, Wog Boy, The Castle)

How often do you see a film in the cinema within 10 days of its release?

Very often
Often
Occasionally
Rarely
Never

Which television / pay station do you watch most frequently?

SBS
ABC
7 Network
9 Network
10 Network
Fox 8
TV1
Showtime
Arena
Lifestyle Channel
Fox Sports & Fox Sports 2
Nickleodeon
Cartoon Network
Fox Kids
Channel V
Comedy Channel
MTV
Movie Network
ESPN
Optus Sports 1 & 2

Which radio station do you listen to most frequently?

2 DAY FM
2 MMM
NOVA 96.9 FM
MIX 106.5 FM
Triple J
3 FOX FM
3 MMM
Nova 100
B105 FM
4MMM
SAFM
5MMM
All New 92.9 FM
96 FM
94.5 FM
HO FM
TTT FM

What are your favourite types of music?

Pop
Easy Listening
Rock
Alternative Rock & Pop
Heavy Metal
Dance - House
Dance - Hard Core
Rap / HipHop
Soul / Rhythm & Blues
Jazz
Classic
Country / Folk
Worldmusic

How many DVDs would you purchase for yourself or others over a 6 month period?

None
1-3
4-6
7-9
More than 9

Your occupation?

Accounting
Administration
Marketing
Entertainment
Finance
Social Services
Customer Service
Government
Healthcare Professionals
Hospitality
Tourism
Information Technology
Legal
Professional Occupations
Skilled Trades
Student
Teacher
Unemployed

What is your highest completed level of education?

What is your city?

Sydney or suburb near Sydney
Canberra or suburb near Canberra
Melbourne or suburb near Melbourne
Brisbane or suburb near Brisbane
Adelaide or suburb near Adelaide
Perth or suburb near Perth
Hobart or suburb near Hobart
Another city/suburb in Australia
Another city outside of Australia

What web sites do you visit most often?
(Choose all that apply)

abc.net.au
amazon.com
anz.com.au
commbank.com.au
geocities.com
google.com
hotmail.com
microsoft.com
msn.com
news.com.au
ninemsn.com.au
passport.com
optus.com.au
qantas.com.au
telstra.com
westpac.com.au
whitepages.com.au
yahoo.com
yahoo.com.au
yellowpages.com.au
Other (please specify):

Are you a parent of a child 4 to 12 years old?

Yes
No