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Dear Friend, The Artists Television Network is researching the possible development of a cable network of arts centers in SoHo. This would allow the transmission of arts programs (as well as other kinds of programs) directly into the cable television system from this area. Your answers to the following questions will help us gauge community support for this project. 1. How many households in your building? _____ 2. Do you: Own _____ Rent _____ Coop _____ 3. Do you reside in a loft? Yes _____ No _____ 4. How many persons in your household? _____ 5. Do you have a television set in working order in your home? _____ 6. Do you receive cable television? Yes _____ No _____ 7. How many hours of television do you watch a week? 0-5 _____ 16-20 _____ 6-10 _____ 21-30 _____ 11-15 _____ 31+ _____ 8. When do you watch television the most? Morning _____ Prime Time _____ Afternoon _____ Late Evening _____ Early Evening _____ 9. What are your favorite programs? ___________________________________________ 10. Would you like to see an arts channel? Yes _____ No _____ 11. What is your occupation? Primary _______________ Secondary _______________ 12. If an artist: What is your particular art form? _______________________________________ Are you a certified A.I.R.? Yes _____ No _____ Could you use television to communicate your work? Yes _____ No _____ Have you ever used television in this manner? Yes _____ No _____ If yes, how? __________________________________________________________ 13. Which local arts centers have you ever attended (A) or exhibited at (E?) (Answer "A", "E", or both) The Kitchen _____ Byrd-Hoffman Foundation _____ Anthology Film Archives _____ Association for Ind. Video & Global Village Video Center _____ Filmmakers _____ 3 Mercer St. Store _____ Open Space _____ SoHo Media Coop _____ The Performing Garage _____ 112 Greene St. Workshop _____ Experimental Intermedia Fdn. _____ Ambrose Art Foundation _____ Grommet Art Theater _____ Other _____________________________________________________________________ 15. What is your age range? 20-25 _____ 36-40 _____ Over 60 _____ 26-30 _____ 41-50 _____ 31-35 _____ 51-60 _____ 16. What is your income range? Below $5,000 _____ $15,000 - 20,000 _____ $5,000 - 10,000 _____ 20,000 - 30,000 _____ 10,000 - 15,000 _____ Over 30,000 _____ 17. Sex: Male _____ Female _____ Are you willing to be interviewed and videotaped in person? If so please write your name and address in the following space: _______________________________________________________________ THANK YOU