Remedy Sample Engagement Poll

Remedy Sample Engagement Poll

Instructions:

This survey instrument lets The Remedy Band know what songs to play at each of our engagements. We are the only band in Delaware that allows YOU to select our play lists. Its all pretty simple: We want to play what you want to hear!

Fill out this form and SUBMIT your responses when complete (the button is at the bottom of the page). If you make a mistake, there is also a RESET button to clear your answers. When we play at the venue the results of this survey will be presented and we will play the artists YOU'VE selected from our extensive play list. We can't guarantee every person's selections will be played at a particular event, but we'll do our best selecting the majority of our songs from completed surveys!

Answer questions as they relate to you. For most answers, check the boxes most applicable to you or fill in the blanks.

If you enter an email address below, we will use this field to populate our mailing list. The list provides information on the band and future engagements and are sent only on an as-needed basis. All information submitted to the band will be held in the strictest confidence and will be used only to periodically update you on our performance schedule or other important news. We DO NOT sell or give email addresses to any third parties so your information is safe with us!

Thanks in advance for participating in the survey and providing a customized musical experience for you and the rest of our audience!

We'll see you at the gig!

Please provide the following information so we can contact you about band related information!

First Name

Last Name

Tell Us About You!

Enter as much or as little information as you feel comfortable. Remedy uses this information to understand our audience demographics and select performance songs that meet their needs.

Your Age

2.	Your Gender

	Female
	Male

3.	Your Status

	(Hold down the CTRL key and select all that apply.)

Your Role

	(Select all that apply.)
	Clerical
	Sales
	Design
	Marketing
	Executive
	Other:

5.	Your Favorite Type of Music:

	(Select all that apply.)
	Classic Rock
	Easy Listening
	Jazz
	Funk
	Rhythm and Blues
	Motown
	Disco
	Country
	Other:

Disco Theme

6.	Select the Disco Artists you would like for us to perform:

	(Select all that apply.)
	Donna Summer
	A Taste of Honey
	Tavares
	KC and the Sunshine Band
	The Trammps
	Wild Cherry
	Ami Stewart
	Kool and the Gang
	Earth, Wind and Fire
	Gloria Gaynor
	The Four Seasons (with Frankie Valle)
	Vicki Sue Robinson
	The Commodores
	The Emotions
	Barry White
	Other:

Motown Theme

7.	Select the Motown Artists you would like for us to perform:

	(Select all that apply.)
	The Temptations
	The Jackson 5
	Stevie Wonder
	The Four Tops
	Aretha Franklin
	Martha and the Vandellas
	Patti Labelle
	Sly and the Family Stone
	Wilson Pickett
	Marvin Gaye and Tammy Turrell
	The Four Seasons (with Frankie Valle)
	The Supremes
	Diana Ross
	The Spinners
	Other:

Classic Brass Theme

8.	Select the Classic Brass Artists you would like for us to perform:

	(Select all that apply.)
	Chicago
	Blood Sweat and Tears
	Ides of March
	The Happenings
	Huey Lewis and the News
	Blues Brothers
	Spencer Davis
	Rare Earth
	Bruce Springsteen
	Average White Band
	Joe Cocker
	Spiral Staircase
	The Isley Brothers
	The Foundations
	Van Morrison
	Other:

Classic Rock Theme

9.	Select the Classic Rock Artists you would like for us to perform:

	(Select all that apply.)
	Journey
	Bob Seger
	Steeley Dan
	Peter Gabriel
	Robert Palmer
	J. Geils Band
	Rolling Stones
	Asia
	Elton John
	Billy Joel
	The Who
	The Doobie Brothers
	The Eurhythmics
	The B-52's
	Meatloaf
	Santana
	Other:

Easy Listening Theme

10.	Select the Easy Listening/Jazz Artists you would like for us to perform:

	(Select all that apply.)
	Maroon 5
	Carole King
	Neil Diamond
	Natalie Cole
	The Carpenters
	The Spinners
	Santana
	Brian Setzer Orchestra
	Duke Ellington
	Glenn Miller
	Al Green
	Shania Twain
	Faith Hill
	Linda Rondstadt
	The Eagles
	Dave Mason
	Seals and Croft
	Other:

Other Comments

11.	Do You Have any other comments you would like to share with the band?