CREATIVE COMPUTING VIDEO & ARCADE GAMES VOL. 1, NO. 2 / FALL 1983 / PAGE 16
In an effort to find out exactly who you are and what you want in the way of future articles, we ask that you take the time to complete this survey. Using a pen, fill in all of the blanks and check all of the appropriate boxes. Please print legibly so that we can publish your name and address if you have a high score.
Return this page or a photocopy to:
Video & Arcade Games Survey
39 E. Hanover Ave.
Morris Plains, NJ 07950
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Name Street Address City, State, Zip Phone |
:______________________________ :______________________________ :______________________________ :______________________________ |
Sex:
Age:
| ( ) Under 10 | ( ) 10-14 | ( ) 15-18 |
( ) 19-22 |
| ( ) 23-29 | ( ) 30-39 | ( ) 40-49 | ( ) 50+ |
Total Household Income: (leave blank if not sure)
Of all the different types of games, I most enjoy playing:
The home computer systems that I own are:
The home video game systems that I own are:
I would like to see Video & Arcade Games published:
All high scores should be verified by a photograph of the screen. Since the staff of V&AG realizes that taking photos can be difficult and expensive, the inclusion of pictures will remain optional. We trust our readers to report their high-scores honestly. If respondents abuse this privilege, screen photos will become mandatory.
My favorite coin-op arcade games and high scores are:
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Name/ Manufacturer 1. ____________________________________ |
High Score ____________________ __________ |
My favorite home computer games and high scores are:
Name of computer system:________________
|
Name/ Manufacturer 1. ____________________________________ |
High Score ____________________ __________ |
My favorite home video games and high scores are:
Name of video game system:________________
|
Name/ Manufacturer 1. ____________________________________ |
High Score ____________________ __________ |
My suggestions for Video & Arcade Games magazine are: (attach additional sheets if required)
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