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Response / Feedback Sheet (Music Industry)
Response / Feedback Sheet (Sample)
"Artist Star" Productions 377 Fenimore Street Brooklyn, New York 11225 (718) 555-5555
I AM A…
___ Club DJ ___ Mobile DJ ___ Radio DJ ___ Radio PD/MD ___ Remixer/Producer ___ Record Company ___ Independent Promoter/Manager/Agent ___ Club Owner/Manager ___ Artist ___ Media ___ Manufacturer’s Rep ___ Record, Tape, CD Retailer/Distributor ___ Consumer ___ Other (please specify) _______________
1.Song name/title: ____________________
2. Song artist: ___________________
3. Song rating: ___ excellent ___ good ___ fair ___ try again comment _________________________
4. Chart hit or miss? ___ top 10 ___ 10-20 ___ 20-50 ___ 50-100 ___ try again
5. Music: ___ excellent ___ good ___ fair ___ try again comment ________________
6. Lyrics: ___ excellent ___ good ___ fair ___ try again comment ________________
7. Beat/Rhythm: ___ excellent ___ good ___ fair ___ try again comment ___________
8. Danceability: ___ excellent ___ good ___ fair ___ try again comment____________
9. Mix: ___ excellent ___ good ___ fair ___ try again comment _________________
10. Market: ___ local ___ regional ___ national ___ International Location_______________
11. Crowd: ___ mostly male ___ mostly female ___ mixed ___ straight gay ___ mixed
12. Background: ___ White ___ Black ___ Hispanic ___ Asian ___ European _______ Other
13. Age group: ___ 10-15 ___ 16-21 ___ 22-27 ___ over 27 ___ mixed comment ______________
14. Would you put the song into your playlist rotation? ___ yes ___ no ___hourly ___ daily ___ weekly ___ monthly
15. Would you like to be put on our VIP mailing list? __yes __ No Name:___________________ Title: ____________________ Company: __________________ Address: _____________________ City: _____________________ State: ____________________ Country: ___________________ Zip: ___________________ Daytime phone # (include country and city code if outside USA) ___________________________________ Fax number #______________________________
16. Is there anyone that you would like to recommend to be put on our mailing list? Name: ____________________________________ Title: _____________________________________ Company: ___________________________________ Address: _____________________________________ City: ____________________ State: ______________________ Country: __________________________ Zip: __________________ Daytime Phone # (include country and city code if outside USA) _________________________________________________________ Fax Number # ______________________________________
Thank you for taking time out to fill out the questionaire. Your input is greatly appreciated.
Katz Praatz "Artist Star" Productions 377 Fenimore Street Brooklyn, New York 11225 USA (718) 555-5555
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