Public Service Announcement Survey
Share your feedback to help us improve our public service announcements.
Your Full Name
*
First Name
Last Name
Your Age
*
Your Email Address
example@example.com
Which best describes your gender?
Male
Female
Non-binary
Prefer not to say
Other
How did you encounter the public service announcement?
*
Television
Radio
Online (social media, websites)
Print (newspaper, magazine, flyer)
Outdoor (billboard, transit, etc.)
Other
How well do you remember the content of the public service announcement?
*
Not at all
1
2
3
4
Very well
5
1 is Not at all, 5 is Very well
Please rate the following aspects of the public service announcement:
*
Rows
Clarity of Message
Relevance to You
Visual Appeal
Emotional Impact
Poor
1
2
3
4
Fair
5
6
7
8
Good
9
10
11
12
Very Good
13
14
15
16
Excellent
17
18
19
20
How likely are you to take action based on the message of the announcement?
*
Very unlikely
Unlikely
Neutral
Likely
Very likely
What did you like most about the public service announcement?
How can we improve our public service announcements?
Submit Survey
Should be Empty: