Music Survey
*Scoring is rated from 1 (Poor) to 5 (Great)
How would you rate song #1
*
Select 1 - 5
1
2
3
4
5
1 = poor to 5 = great
How would you rate song #2
*
Select 1 - 5
1
2
3
4
5
1 = poor to 5 = great
How would you rate song #3
*
Select 1 - 5
1
2
3
4
5
1 = poor to 5 = great
How would you rate song #4
*
Select 1 - 5
1
2
3
4
5
1 = poor to 5 = great
How would you rate song #5
*
Select 1 - 5
1
2
3
4
5
1 = poor to 5 = great
How would you rate song #6
*
Select 1 - 5
1
2
3
4
5
1 = poor to 5 = great
How would you rate song #7
*
Select 1 - 5
1
2
3
4
5
1 = poor to 5 = great
How would you rate song #8
*
Select 1 - 5
1
2
3
4
5
1 = poor to 5 = great
How would you rate song #9
*
Select 1 - 5
1
2
3
4
5
1 = poor to 5 = great
How would you rate song #10
*
Select 1 - 5
1
2
3
4
5
1 = poor to 5 = great
How would you rate song #11
*
Select 1 - 5
1
2
3
4
5
1 = poor to 5 = great
How would you rate song #12
*
Select 1 - 5
1
2
3
4
5
1 = poor to 5 = great
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
*
example@example.com
Mobile Number
*
Age
*
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