Advertising Audience Feedback Form

Welcome to [Your Company Name]'s Advertising Audience Feedback Survey

This survey aims to gather your honest feedback on the recent advertising campaign titled "Innovate with [Your Company Name]". Your responses will help us better understand how our audience perceives our brand and advertising efforts, enabling us to enhance our future campaigns and serve you better.

Respondent Information

Name:	[Your Name]
Age:
Gender:
Occupation:
Email:
Location:

Advertising Campaign Details

Campaign Name:	[Your Name]
Viewed On:
Date of Viewing:
Frequency of Viewing:

A. Audience Engagement

Field	Description
How much attention did the ad capture?	1 - Very Low 2 - Low 3 - Neutral 4 - High 5 - Very High
How relevant was the ad?	1 - Very Low 2 - Low 3 - Neutral 4 - High 5 - Very High
Clarity of the ad's message	1 - Very Low 2 - Low 3 - Neutral 4 - High 5 - Very High
Did the ad inspire action?	Yes No Maybe

B. Audience Perception and Response

Field	Description
Overall Impression of the ad	1 - Very Negative 2 - Somewhat Negative 3 - Neutral 4 - Somewhat Positive 5 - Very Positive
How did the ad affect perception of [Your Company Name]?	1 - Very Negative 2 - Somewhat Negative 3 - Neutral 4 - Somewhat Positive 5 - Very Positive
Likelihood of recommending [Your Company Name]	1 - Very Negative 2 - Somewhat Negative 3 - Neutral 4 - Somewhat Positive 5 - Very Positive
Did the ad influence a decision to purchase?	Yes No Maybe

C. Additional Comments

Thank You for Your Valuable Feedback.

We sincerely thank you for taking the time to complete our Advertising Audience Feedback Survey. Your insights are essential in helping us understand the impact of our advertising efforts and how we can improve to better meet your expectations and needs.

Should you have any further comments or wish to stay updated with [Your Company Name], please feel free to contact us at [Your Company Email] or visit [Your Company Website].