CanaChart Questionaire
~~~~~~~~~~~~~~~~~~~~~~
Name: ________________________________________________
Adress: ________________________________________________

What Brand of computer do you own? __________________________
Do you own a modem? __
         a printer? __
What kind of display do you have?  VGA  __
                                   MCGA __
                                   EGA  __
                                   CGA  __
                                   HERC __
                                   MONO __

What is your favorite:   Commercial Game: ______________________________
                         Commercial Util: ______________________________
                          Shareware Game: ______________________________
                          Shareware Util: ______________________________
                                   Actor: ______________________________
                                 Actress: ______________________________
                             Music Group: ______________________________
                                   Movie: ______________________________
                               T.V. Show: ______________________________
                           Radio Station: ______________________________

What kind of music do you listen to most: ______________________________

Favorite BBS:  Name: ________________________________________
              Sysop: ________________________________________
          CO Sysops: ________________________________________
       Phone number: (___)___-____
           Location: ________________________________________
           Features: ________________________________________
                     ________________________________________

What other ideas do you have for CanaChart?
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________


Thanx for filling out this questionaire, and becoming part of the CanaChart
Crew!

Mail to:

CanaChart
Dave Kratky (Marauder)
RR#2, Grand Valley, Ontario, Canada
LON IGO                              
