Name (Optional):______________________________ Date:__________________________

Gender:_____________________________________ Grade & Strand:________________

Please shade the circle that corresponds to your answer.

Masculinity/ Femininity Purchase Decision

TV Commercial 1 2 3 4 5 1 2 3 4 5
1 Commercial A Ο Ο Ο Ο Ο Ο Ο Ο Ο Ο
2 Commercial B Ο Ο Ο Ο Ο Ο Ο Ο Ο Ο
3 Commercial C Ο Ο Ο Ο Ο Ο Ο Ο Ο Ο
4 Commercial D Ο Ο Ο Ο Ο Ο Ο Ο Ο Ο
5 Commercial E Ο Ο Ο Ο Ο Ο Ο Ο Ο Ο
6 Commercial F Ο Ο Ο Ο Ο Ο Ο Ο Ο Ο
7 Commercial G Ο Ο Ο Ο Ο Ο Ο Ο Ο Ο
8 Commercial H Ο Ο Ο Ο Ο Ο Ο Ο Ο Ο
9 Commercial I Ο Ο Ο Ο Ο Ο Ο Ο Ο Ο
10 Commercial J Ο Ο Ο Ο Ο Ο Ο Ο Ο Ο
11 Commercial K Ο Ο Ο Ο Ο Ο Ο Ο Ο Ο
12 Commercial L Ο Ο Ο Ο Ο Ο Ο Ο Ο Ο
13 Commercial M Ο Ο Ο Ο Ο Ο Ο Ο Ο Ο
14 Commercial N Ο Ο Ο Ο Ο Ο Ο Ο Ο Ο
15 Commercial O Ο Ο Ο Ο Ο Ο Ο Ο Ο Ο
16 Commercial P Ο Ο Ο Ο Ο Ο Ο Ο Ο Ο
17 Commercial Q Ο Ο Ο Ο Ο Ο Ο Ο Ο Ο
18 Commercial R Ο Ο Ο Ο Ο Ο Ο Ο Ο Ο
19 Commercial S Ο Ο Ο Ο Ο Ο Ο Ο Ο Ο
20 Commercial T Ο Ο Ο Ο Ο Ο Ο Ο Ο Ο

 Masculinity/ Femininity
From a scale of 1-5, 1 being feminine, 2 being slightly feminine, 3 being neutral, 4
being slightly masculine and 5 being masculine, how masculine/feminine do you find the
commercial?

 Effect to Purchase Decision

After watching the commercial, from a scale of 1-5, 1 being discouraged by the
commercial, 2 being slightly discouraged, 3 being neutral, 4 being slightly encouraged
and 5 being encouraged, how likely are you to purchase the product being advertised?