Television Advertisement Evaluation Online Survey Form
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[Survey Creator: Click "edit" button and enter name or description of advertisement here.]
1) How many times did you see this advertisement?
-- Select Here --
Once
2-3 Times
4-5 Times
6 or More Times
2) Did you ever mention this advertisement to anyone?
Yes
No
3) Did anyone ever mention this advertisement to you?
Yes
No
4) How well did this advertisement catch your attention?
Very Well
Somewhat Well
Undecided
Not Very Well
Not at all Well
5) How believable were the claims made in this advertisement?
Very Believable
Somewhat Believable
Undecided
Not Very Believable
Not at all Believable
6) How well do you feel this ad informed you about the product?
Very Well
Somewhat Well
Undecided
Not Very Well
Not at all Well
7) How appealing did you find this advertisement?
Very Appealing
Somewhat Appealing
Undecided
Not Very Appealing
Not at all Appealing
8) How convincing did you find this advertisement?
Very Convincing
Somewhat Convincing
Undecided
Not Very Convincing
Not at all Convincing
9) How memorable did you find this advertisement?
Very Memorable
Somewhat Memorable
Undecided
Not Very Memorable
Not at all Memorable
10) How creative did you find this advertisement?
Very Creative
Somewhat Creative
Undecided
Not Very Creative
Not at all Creative
11) In general, how would you rate the quality of this advertisement compared to other ads of a similar nature?
Excellent
Good
Fair
Poor
Undecided
12) Do you currently use this product?
Yes
No
13) Based on this advertisement, how likely would you be to purchase this product in the future?
Very Likely
Somewhat Likely
Undecided
Not Very Likely
Not at all Likely
14) If deciding between this product and a competing product, how much would this ad influence you to buy this product?
Very Much
Somewhat
Undecided
Very Little
Not at All
15) What, if anything, did you find appealing about this advertisement?
16) What, if anything, did you dislike about this advertisement?
17) Which of the following would you use to describe this advertisement? Please check all that apply.
Appealing
Honest
Distasteful
Credible
Convincing
Creative
Distasteful
Attractive
Believable
Memorable
Not Credible
Touching
Professional
Silly
Please tell us a little about yourself.
18) Are you male or female?
Male
Female
19) What is your age?
-- Select Here --
18-21
22-25
26-29
30-33
34-37
38-41
42-45
46-49
50-53
54-57
58-61
62-65
66 or older
20) What is your marital status?
-- Select Here --
Married
Single
Never Married
Separated
Divorced
Widowed
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