Polite & Associates | Media Management

MEDIA PLANNER

Welcome to the Polite & Associates media planner. This simple form is designed to help us determine your media need and begin drafting a plan of action that will reach your target audience

Click on submit once you have completed the form. This system is a great starting point for us to start dialogue.

We respect your privacy -- all information submitted remains with PA only.

First Name:
Last Name:
Email:
Company:
Website:
1. What media have you used in the past?
	Radio
	Internet
	Television
	Newspaper & Magazine
	Outdoor
	Other

2. Does any of the above media that you used work for you?
	Yes, it was great!
	It worked OK
	No
	I don't know

3. If you used TV, was it short form or long form?
	30 minute (or longer) TV show
	:30 or :60 second commercial

4. Rate what media you feel is most important to you by assigning a numerical value according to most interested - 1 is most interested, 5 is least interested:
	Radio
	Internet
	Television
	Newspaper & Magazine
	Outdoor

5. Do you have a budget in mind for advertising?
	Yes
	No
	Haven't thought about it

7. Yes, and my monthly budget is:
	$100,000 or more per month
	$50,000 - 100,000
	$25,000 - 50,000
	$10,000 - 25,000
	Less than $10,000

8. Is there any additional information you'd like to share at this time?