Public Image Reputation Perception Survey Form
Please share your honest perceptions about the public figure, brand, organization, or public-facing entity you are evaluating.
What is the name of the public figure, brand, organization, or entity you are evaluating?
*
How familiar are you with this public figure, brand, or organization?
*
Very familiar
Somewhat familiar
Heard of them
Not familiar at all
Overall, how would you rate the reputation of this public figure, brand, or organization?
*
1
2
3
4
5
Please indicate your level of agreement with the following statements about this public figure, brand, or organization.
*
Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Is trustworthy
1
2
3
4
5
Communicates effectively
6
7
8
9
10
Acts responsibly
11
12
13
14
15
Positively impacts society
16
17
18
19
20
How would you describe the overall public image of this entity?
*
Very positive
Somewhat positive
Neutral
Somewhat negative
Very negative
Which of the following best describes the source of your perception? (Select all that apply)
*
Personal experience
News media
Social media
Word of mouth
Advertising
Other
How likely are you to recommend this public figure, brand, or organization to others?
*
Not at all likely
1
2
3
4
5
6
7
8
9
Extremely likely
10
1 is Not at all likely, 10 is Extremely likely
What are the strengths of this public figure, brand, or organization?
What are the weaknesses or areas for improvement?
Any additional comments or suggestions?
Submit Survey
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