 CREATIVE COMPUTING VIDEO & ARCADE GAMES VOL. 1, NO. 1 / SPRING 1983 / PAGE 13

FEEDBACK AND SCORES

We'd like to know something about you so we can make this a better magazine. We're not even sure how often you'd like to see us publish this magazine. So we're running this poll so you can tell us what you like in the gaming world and in this magazine.

Your response will be kept absolutely confidential except, of course, your name and score will be published if you have the high score on one or more games.

Please return this page or a photocopy to: Video & Arcade Games, 39 E. Hanover Avenue, Morris Plains, NJ 07960.

Sex:
( ) Male ( ) Female

Age:

( ) Under 14
( ) 22-29

( ) 15-17
( ) 30-39

( ) 18-19
( ) 40-49

( ) 20-21
( ) 50+

Household Income:
     ( ) Under $10,000     ( ) $30,000-39,999
     ( ) $10,000-14,999    ( ) $40,000-49,999
     ( ) $15,000-19,999    ( ) $50,000-74,999
     ( ) $20,000-29,999    ( ) $75,000 +

How many hours do you spend per week playing:

___Arcade (coin-op) Games

___Video Games (Atari, Intellivision, etc.)

___Computer Games (Apple, Atari, VIC, etc.)

___Electronic Games (Mattel, Coleco, Entex, etc.)

___Board Games (Chess, Monopoly, Pay Day, etc.)

What other magazines do you read on games or computers?

Magazine	Read Regularly	Read Occasionally
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How often would you like to see Video & Arcade Games Magazine?

( ) Monthly	( ) Quarterly
( ) Bi-monthly	( ) Semi-annually

Favorite arcade (coin-op) games and your high scores:

Game

1. ____________________________________
2. ____________________________________
3. ____________________________________

High Score

__________
__________
__________

Favorite computer games and your high scores:
Which computer________________________________________

Game

1. ____________________________________
2. ____________________________________
3. ____________________________________

High Score

__________
__________
__________

Favorite video games and your high scores:
Which video game________________________________________

Game

1. ____________________________________
2. ____________________________________
3. ____________________________________

High Score

__________
__________
__________

Suggestions for Video & Arcade Games magazine:
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
Name:__________________________________________________
City and State:___________________________________________

Signature of another person verifying your high scores:
_______________________________________________________