This media usage survey form is designed for teams that want a clearer picture of how people consume content across different formats. It helps you collect practical audience insights on podcast preferences, entertainment choices, screen time, and the moments when people intentionally disconnect from media.
The template includes sections for basic respondent details, media-free habits, favorite podcast genres, and preferred movie or TV genres. That structure makes it useful for market research, content planning, brand strategy, or audience segmentation, while still being easy to tailor to a specific demographic or campaign.
A strong media usage survey should feel quick to complete while still producing data you can compare across responses. This template gives you a focused starting point for spotting patterns in media behavior, identifying audience interests, and making better-informed decisions about messaging, channels, and content.