Brand Perception Advertising Survey

Respondent Information

Full Name:	[Name]
Occupation:	[Job Title]
Contact Information:	[Number], [Email]

Rate the following statements by filling in the corresponding circles. The rating scale is 1 for Poor and 5 for Excellent.

Statement	1	2	3	4	5
How familiar are you with [Your Company Name]?	◯	◯	◯	◯	◯
How would you rate the quality of our services/products?	◯	◯	◯	◯	◯
How likely are you to recommend us to others?	◯	◯	◯	◯	◯
Compared to our competitors, how do you rate us?	◯	◯	◯	◯	◯

What is the first thing that comes to mind when you think of [Your Company Name]?

[They are one of the biggest advertising companies in my area.]

How often do you encounter our brand in the media?

How would you best describe our brand?

Please provide any other feedback or suggestions you may have for us:

Signature of Respondent:

[Name]

[Job Title]

[Date]

_________________________________________________________________________________

[Your Company Name] appreciates your participation in this survey. The information provided will be used for internal analysis to improve our products and services.

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