Social Media Platform Restriction Review Questionnaire Form
Please complete this form to help us review the restriction on your social media account or content. Your responses will assist in understanding the situation and determining next steps.
Platform or Account Name
*
Type of Restriction
*
Account Suspension
Content Removal
Feature Limitation
Shadowban
Other
Date of Restriction
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
How did you become aware of the restriction?
*
Platform Notification
Email Alert
Unable to Access Feature/Content
Other
What reason did the platform provide for the restriction?
In your own words, why do you think the restriction occurred?
How has this restriction impacted your use of the platform?
How fair do you believe the restriction was?
*
1
2
3
4
5
Actions you have taken since the restriction (select all that apply)
Appealed the decision
Contacted support
Reviewed platform policies
No action taken
Other
What follow-up action are you seeking?
*
Full restoration of account/content
Review of restriction decision
Clarification on platform policies
Other
Submit Review
Should be Empty: