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Questionnaire for HELLO! magazine

We at HELLO! are constantly striving to update and improve our magazine and would like to take this opportunity to ask for some feedback. If you currently live in the UK and would be willing to participate in forthcoming reader research about HELLO! magazine that will consist of a questionnaire being mailed to your home, please fill in the following details:

First Name:
Last Name:
Sex:
Occupation:
Age:
Address:
Town/City:
Postcode:
E-mail address:
Introduce the numbers showed in the Image:

 
I am happy to be contacted via e-mail in the future:   

The research will relate to HELLO! magazine and not hellomagazine.com.

The questionnaire is only open to UK residents.