NY Survey

Fill out the survey below and you will be entered to win one of the following prizes:

* 1-year of 25Mb Internet Service
* 6-months of 25Mb Internet Service
* 32" Flat Screen TV

Please enter your name, email and Adams Cable account number:

Please select your department.

What cable services do you have?

Basic

Expanded Basic

Choice

High Definition

Premium Channels

What three networks do you watch the most?

Favorite Network #1
Favorite Network #2
Favorite Network #3

Are you willing to pay up to $5.00 per month each for:

WIVT?
WBNG?
WBGH?
WICZ?

Is sports programming important to you?

Are you willing to pay more for sports programming?

If yes, what sports channels are most important to you?

Favorite Sports Network #1
Favorite Sports Network #2
Favorite Sports Network #3

Do you ever watch Adams Community Channel 7?

Do you listen to Stingray Music Channels?

Do you have Adams Broadband Internet service?

Do you have Adams Digital Phone service?

Do you use the additional free services we offer:

Video on Demand?
Watch TV Everywhere?

Would you like and Adams Cable Representative to call you about additional free services?

If yes, please enter your contact phone number:

Additional Comments, if none type 'none':

Please enter your name.
Please enter your account #.
Please enter your email address.
Please enter your comment.
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