Advertisement Reaction Survey Form
Please share your honest feedback about your reaction to the advertisement. Your responses will help us improve future campaigns.
What was your initial impression of the advertisement?
*
Very Positive
Somewhat Positive
Neutral
Somewhat Negative
Very Negative
How memorable did you find the advertisement?
*
Not memorable at all
1
2
3
4
5
6
Extremely memorable
7
1 is Not memorable at all, 7 is Extremely memorable
Which emotions did the advertisement evoke? (Select all that apply)
Happiness
Excitement
Surprise
Curiosity
Indifference
Annoyance
Other
How likely are you to take action after seeing this advertisement? (e.g., purchase, learn more, share)
*
Not likely at all
1
2
3
4
5
6
Extremely likely
7
1 is Not likely at all, 7 is Extremely likely
How clear was the main message of the advertisement?
*
Extremely clear
Very clear
Somewhat clear
Not so clear
Not at all clear
Please rate your overall impression of the advertisement.
*
1
2
3
4
5
What aspect of the advertisement did you like most?
What could be improved in the advertisement?
How did you view this advertisement?
*
TV
Online Video
Social Media
Billboard
Other
What is your age group?
Please Select
Under 18
18-24
25-34
35-44
45-54
55-64
65 or older
Prefer not to say
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