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Media Surveying Form Template
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pjgriffith
MEDIA SURVEY How did you learn of our product? A. Television Commercial? Yes_______ No________ If "Yes", which channel?______________________ When? Morning________ Afternoon______ Evening_______ Late Night______ B. Radio Spot? Yes________ No________ If "Yes", which station?_______________________ When? Morning__________ Afternoon________ Evening________ C. Newspaper? Yes_________ No_______ If "Yes", which one?____________________________ D. Store Display? Yes_____ No_______ If "Yes", which store?__________________________ E. Other____________________________________________
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4/10/2008
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