| | Media Survey Form
How did you learn of our product?
A.) Television Commercial? No [ ] Yes [ ]
If "Yes", which channel? _________
When? Morning [ ] Afternoon [ ] Evening [ ] Late Night [ ]
B.) Radio Spot? No [ ] Yes [ ]
If "Yes", which station? _________
When? Morning [ ] Afternoon [ ] Evening [ ] Late Night [ ]
C.) Newspaper? No [ ] Yes [ ]
If "Yes", which newspaper? _________________________
D.) Store Display? No [ ] Yes [ ]
If "Yes", which store? ______________________________
E.) Other: _______________________________________ |
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