Reston Town Center Customer Survey

Take a moment to complete our survey and you could
win $100 in Reston Town Center Gift Certificates.

All information is kept confidential for Reston Town Center marketing department use only. One entry per e-mail address, please. One winner per month from March through August 2008. Random drawings take place on the business day immediately following the 30th of each month. Winners will be notified by e-mail.

*First Name:		*Last Name:
*Zip Code:		*Telephone:
Your Age	13 or younger 14-18 19-35 36-54 55-64 65-Up
*Email Address:		*Required field

Your reasons for visiting Reston Town Center – choose one or all:

Restaurants	Shopping	Movies
Events	Work	Other

Do you watch these television stations?

WRC-TV Channel 4 – NBC	Always Sometimes Never
WTTG Channel 5 – FOX	Always Sometimes Never
WJLA Channel 7 – ABC	Always Sometimes Never
NewsChannel 8	Always Sometimes Never
WUSA TV Channel 9 – CBS	Always Sometimes Never
CWDC Channel 50 – The CW	Always Sometimes Never
WDCA Channel 20	Always Sometimes Never
WETA Channel 26 – PBS	Always Sometimes Never

Do you have cable TV service at home? If yes, please check one:

Comcast Cox Other

Do you listen to these radio stations?

DC 101 – WWDC	Always Sometimes Never
HOT 99.5 – WHIT	Always Sometimes Never
MIX 107.3 - WQRX	Always Sometimes Never
WAMU 88.5 – NPR	Always Sometimes Never
The Globe 94.7	Always Sometimes Never
WASH FM 97.1	Always Sometimes Never
WBIG 100.3	Always Sometimes Never
WETA 90.0 – NPR	Always Sometimes Never
WJZW 105.9	Always Sometimes Never
WMAL 630 AM	Always Sometimes Never
WMZQ 98.7	Always Sometimes Never
WTOP 103.5 FM, 1500 AM	Always Sometimes Never

Which publications do you read?

Washington Post Daily	Always Sometimes Never
Washington Post Sunday	Always Sometimes Never
Washington Times	Always Sometimes Never
Examiner	Always Sometimes Never
Times Community Newspaper	Always Sometimes Never
Connection	Always Sometimes Never
Observer	Always Sometimes Never
Washington Parent	Always Sometimes Never
Family	Always Sometimes Never
Washingtonian	Always Sometimes Never
Northern Virginia Magazine	Always Sometimes Never
élan	Always Sometimes Never

Where do you reside?

Other (please specify):

In which area do you work?

Other (please specify):

Tell us! What else would you like to see at Reston Town Center?

Maximum characters: 150. ( )

Would you like to receive future updates, via e-mail, about special events at Reston Town Center?

Yes No

For Your Chance to Win!