Pharmaceutical Media Monitoring Log Form
Log and track pharmaceutical-related media mentions and organizational responses.
Date and Time of Mention
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Media Source or Publication
*
Channel / Type of Media
*
Please Select
Print
Online News
Social Media
Broadcast TV/Radio
Trade Publication
Blog
Podcast
Other
Headline or Mention Title
*
Brand, Product, or Company Referenced
*
Summary of Mention
*
Sentiment or Tone
*
Positive
Neutral
Negative
Mixed
Issue / Response Status
*
Please Select
No Action Needed
Monitoring
Escalated
Response Issued
Closed
Follow-up Owner
Notes / Action Needed
Submit Log
Should be Empty: