Free Advertising Audience Feedback Form

Capture valuable perspectives with the Advertising Audience Feedback Form Template from Template.net. This template is designed to collect and organize audience responses, offering crucial insights into their perceptions and reactions. Download this template to gather feedback that informs and refines your advertising strategies, ensuring they resonate with your target audience.

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

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

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

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

Free Advertising Audience Feedback Form

Respondent Information

Advertising Campaign Details

A. Audience Engagement

B. Audience Perception and Response

C. Additional Comments

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