Print out this form to help you conduct your survey. For the most meaningful results, a large number of people should be surveyed. Therefore, ask the following questions to as many people as possible:

How Often People Watch Television Make tally marks on the lines below to keep track of how often the people you survey watch television.
Often (Everyday)	_______________________________
Sometimes (2 or 3 times a week)	_______________________________
Seldom (Maybe once a week)	_______________________________
Never	_______________________________

The Kind of Program Most Enjoyed Make tally marks on the lines below to keep track of the kind of programs the people you survey enjoy watching most of the time.
Situation Comedies	_______________________________
Dramas	_______________________________
Documentaries	_______________________________
Other: Specify	_______________________________
Other: Specify	_______________________________
Other: Specify	_______________________________

Why Do People Watch Television? Make tally marks on the lines below to keep track of why people watch television.
Entertainment/Relaxation	________________________________
Informational	________________________________
They have nothing else to do	________________________________