TV Series Impact Survey Form
Share your feedback on the TV series by rating its impact, answering a few short questions about your viewing experience, and telling us what stood out most.
Audience Profile
How do you know the series?
*
Current viewer
Former viewer
Heard of it, but have not watched
Watched a few episodes
Other
Viewing status
*
Please Select
Still watching
Completed the series
Stopped partway through
Watched selected episodes only
Broad audience group (optional)
Series Impact Evaluation
Overall impact
*
1
2
3
4
5
Agreement with impact statements
*
Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
The series had an emotional impact on me.
1
2
3
4
5
The characters were memorable.
6
7
8
9
10
The series sparked meaningful discussion.
11
12
13
14
15
The series felt culturally relevant.
16
17
18
19
20
Did the series change any of the following?
*
My opinions
My habits
My interests
None of the above
Other
Likelihood to recommend
*
1
2
3
4
5
Most impactful moment or element
Viewing Habits and Final Thoughts
Preferred viewing format or platform type
*
Live TV
Streaming service
On-demand rental
Recorded DVR
Other
Would you watch another season or a similar series?
*
Yes
No
Maybe
Additional comments or suggestions
Submit
Should be Empty: