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1. About You
a.
Name:
b
. Surname:
c.
Email:
d.
Gender:
Male
Female
e.
Age:
Select
18-24
25-34
35-44
45-55
OVER 55
f.
Primary Industry:
Select
Agriculture
Arts
Brokerage
Construction
Consulting
Education
Entertainment
Fashion
Film & TV
Fund Management
Government
Hospitality Industry
IT/Telecom
Legal
Manufacturing
Media
Medial and Health Care
Modeling
Non-Profit
PR & Advertising
Real Estate
Recreation and Travel
Retail
Scientific
Service industry
Sports
Transportation
Other
g.
Primary country of residence:
Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Cote d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakstan
Kenya
Kiribati
Kuwait
Kyrgystan
Lao
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia (FYR)
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
Neutral Zone
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States Minor Outlying Islands
United States of America
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna Islands
Western Sahara
Yemen
Yugoslavia
Zaire
Zambia
Zimbabwe
h.
What make of car do you drive?
I do not drive a car
I drive a car
i.
What make of motorcycle do you drive?
I do not drive a motorcycle
I drive a motorcycle
j.
What make of mobile phone do you use?
I do not use a mobile
I use a mobile
k.
What make of PDA do you use?
I do not use a PDA
I use a PDA
l.
Do you use:
PC
Mac
Lap top
Fly Book
Tablet PC
What make?
2. About You and Avantoure Magazine
a.
Is Avantoure the first Digital Magazine you have subscribed to?
Yes
No
b.
Is it the only one?
Yes
No
c.
What are the others ?
(Please list)
d.
How much time do you spend reading Avantoure?
0 -15 min
15 - 30 min
30 min – 1 hour
More than 1 hour
e.
Do you read it at work or at leisure?
Work
Leisure
f.
Do you read it in:
One sitting
Come back to it more than once
g.
Would you be interested in coming to exclusive events where you can meet other like-minded Avantoure subscribers?
Yes
No
3. About You and Avantoure TV
a.
Would you make time to watch Avantoure content delivered as high quality online TV?
Yes
No
b.
How long would you be prepared to watch?
Less than 15 min
15 min
30 min
45 min
60 min
More than 60 min
c.
Would you watch at work or at leisure?
Work
Leisure
d.
What aspects Avantoure would you most like to watch as TV (tick as many as apply)?
Profiles of extraordinary and inspirational individuals
Romantic liaisons
Gaming and gambling
Extreme and adventurous sports
Exotic travel
Unusual destinations
Product reviews
e.
What other subjects would you be interested in watching
(Please list)
f.
Would you be interested in a whole on-demand Avantoure TV Channel including third party content from around the world which Avantoure thinks you would find stimulating?
Yes
No
g.
Would you be interested in contributing to Avantoure TV as:
Guest reviewer
Product tester
Critic
4. About Your TV version of Avantoure Subscription
a.
What is the most you would be prepared to subscribe for a 1 hour monthly TV edition of Avantoure?
£0.00
£2.50
£5.00
£7.50
b.
Would you want Avantoure to let carefully selected Advertisers appear in the TV shows to reduce your subscription cost?
Yes
No