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Survey Templates Psychographic And Demographic Surveys LGBT Media Survey Questions + Sample Questionnaire Template

LGBT Media Survey Questions + Sample Questionnaire Template

The Lesbian, Gay, Bisexual, & Transgender (LGBT) media survey template consists of questions for evaluating and understanding the reach of media and its use by the LGBT community. This sample questionnaire template was created by industry experts to bring you insightful responses about how the community attitude in general towards the LGBT community be improved. It consists of multiple survey questions that collect demographics information and in-depth information about the perception of the LGBT community and their if the use of media can alter that perception.


What is your gender?
What is your sexual orientation?
Who are you out to?
What is your age?
What is your partnership status?
What is your highest level of education?
What is your race? (Please check all that apply.)
What is your current employment status?
What industry are you employed in?
How many hours a week of television do you watch?
Where do you live?
What is your annual household income?
For each of the choices below, please indicate the extent of your media usage.
For each of the choices below, please indicate the extent of your television viewing.
For each of the television networks listed below, please indicate your exposure and viewing frequency.
For each of the programs listed below, please indicate your exposure and viewing frequency.
For each of the magazines and periodicals listed below, please indicate your exposure and viewing frequency of both print and online editions.
For each of the statements below, please indicate the extent of your agreement or disagreement.
For each of the statements below, please indicate the level of importance to you.

For each of the genres below, please indicate your interest and likelihood of viewing the following types of programming.
Please indicate your interaction with the following brands over the past 12 months. 
Do you agree with the following?


Are you interested in participating in future research studies?