Territory FM is the only Darwin radio station to ask you to check out how fit we are to listen to. Please take a few minutes to give us a physical and register for our advisory panel.
	Your profile
Age	Please select 10-17 18-24 25-39 40-54 55-74 75+
Gender	Male       Female
Occupation	Please select Full time employed Part time employed Home duties Student Unemployed
Income per annum	Please select Up to $20,000 $20,000 - $40,000 $40,000 - $60,000 $60,000 - $80,000 $80,000 - $100,000 $100,000 - $140,000 $140,000 +
Email address
	Listening preferences
What station do you listen to the most?	Please select KIK FM 91.5 Radio Larrakia 94.5 Rhema FM 97.7 Hot 100 FM (100.1) SBS Radio 100.9 ABC NewsRadio 102.5 Triple J 103.3 104.1 Territory FM Mix 104.9 105.7 ABC Darwin ABC Classic FM 107.3
Which is your next favorite station to listen to?	Please select KIK FM 91.5 Radio Larrakia 94.5 Rhema FM 97.7 Hot 100 FM (100.1) SBS Radio 100.9 ABC NewsRadio 102.5 Triple J 103.3 104.1 Territory FM Mix 104.9 105.7 ABC Darwin ABC Classic FM 107.3
Times you listen to (Tick all that apply)	06.00 - 9.00 09.00 - 12.00 12.00 - 15.00 15.00 - 18.00 18.00 - 21.00 21.00 - 24.00 Weekdays Weekends
What do you listen for (Tick all that apply)	Music News Weather Sport Talkback Music specials Personalities
Have you listened to these presenters (Tick all that apply)	Ali Alice Cooper Amanda Pernechele      Annie Gastin Blair Daryl Manzie Gino Luglietti Jess Joe Miller JP Julie Christensen Lauren Leon Compton Louise Megan Spencer Pete Davies Pete Hill Rick Night Sammie Denmead The Wolf
Should Territory FM play more: (Tick all that apply)	Sixties Oldies (like Beatles, Four Tops, Righteous Bros, Supremes, Elvis) Sixties Rock (like Stones, Hendrix, Jefferson Airplane, The Band) Seventies Oldies (like Bread, Don McLean, Elton John, LRB, Carly Simon) Seventies Rock (like Doobie Bros, Fleetwood Mac, Led Zeplin, Alice Cooper, Supertramp) Eighties Oldies (like Bangles, Madonna, Wham, Berlin, Hall & Oates) Eighties Rock (like Queen, Police, Robert Palmer) Nineties Hits (Michael Jackson, Mariah Carey, Shaggy, Britney Spears) Nineties Rock (Bryan Adams, Aerosmith, Bon Jovi, Pearl Jam) Today’s Hits (Maroon 5, Mika, Nelly Furtardo, Brian Mcfadden, Leona Lewis)
Your choice of songs to play more:	Song 1 Song 2 Song 3 Song 4
	Feedback
How can we make Territory FM a better station for you to listen to?
Darwin has some great events, on a scale of 1 to 9, with 1 the most popular, rate the following.	1 2 3 4 5 6 7 8 9 Royal Darwin Show 1 2 3 4 5 6 7 8 9 Greek Glenti 1 2 3 4 5 6 7 8 9 V8 Supercars 1 2 3 4 5 6 7 8 9 Darwin Symphony Orchestra 1 2 3 4 5 6 7 8 9 Darwin Festival 1 2 3 4 5 6 7 8 9 Arafura Games 1 2 3 4 5 6 7 8 9 Fred's Pass Rural Show      1 2 3 4 5 6 7 8 9 Bass in the Grass 1 2 3 4 5 6 7 8 9 Darwin Cup Carnival
	Please register me as a member of the Territory FM advisory panel as I’m willing to provide listener feedback to the station from time to time. I acknowledge that Territory FM will not disclose the information supplied or my contact details to any third party.