Media Access Request Interpretation Questionnaire
Please complete this questionnaire to help us evaluate and interpret your media access request.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Organization or Affiliation
*
What type of media access are you requesting?
*
Press Conference
Interview
Event Coverage
Facility Tour
Other
Purpose of Media Access
*
How urgent is this request?
*
Immediate (within 24 hours)
Short-term (1-3 days)
Medium-term (within a week)
Long-term (more than a week)
How relevant is this request to our current media strategy?
*
Not Relevant
1
2
3
4
Highly Relevant
5
1 is Not Relevant, 5 is Highly Relevant
Has this requester previously been granted media access?
*
Yes
No
Not Sure
Please rate the appropriateness of granting this media access request.
*
1
2
3
4
5
Assessment Table: Please indicate your level of agreement with the following statements regarding this request.
*
Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
The request supports our organizational goals.
1
2
3
4
5
The requester has provided sufficient justification.
6
7
8
9
10
Granting access will have a positive impact.
11
12
13
14
15
There are no significant risks involved.
16
17
18
19
20
Additional Comments or Considerations
Submit Request Assessment
Should be Empty: