Q01
Message
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LGBTQ+ Representation in Media Consumption Survey
Measures how LGBTQ+ audiences and allies encounter and judge queer representation in film, TV, and streaming — how often they see it, where, and whether it feels authentic — with an AI follow-up interview that digs into one specific portrayal that shaped their view. Built for media researchers, studios, and advocacy orgs.
Sample questions
A preview of what’s in the template. Every question is editable before you launch.
15 questions · ~8 min
Q02
Multiple ChoiceRequired
In the last 30 days, how often did you watch a show or movie that included LGBTQ+ characters or storylines?
- Never
- Once or twice
- A few times a week
- Almost daily
Q03
Multiple ChoiceRequired
Where do you typically encounter LGBTQ+ representation in media?
- Streaming services (e.g., Netflix, Hulu)
- Broadcast or cable TV
- Movies in theaters
- Social media or short-form video
- Podcasts
- Books
Q04
MatrixRequired
Thinking about LGBTQ+ representation you've seen recently, how much do you agree with each statement?
5 rows × 5 columns
- Characters feel realistic and well-rounded, not just symbols
- Storylines rely on stereotypes or tropes
- Stories show everyday life and joy, not only struggle or trauma
- Representation reflects diversity within the LGBTQ+ community (race, age, ability, etc.)
- LGBTQ+ roles are cast with LGBTQ+ actors
Columns: Strongly disagree · Disagree · Neutral · Agree · Strongly agree
Q05
Best–Worst Trade-off (MaxDiff)Required
When you judge whether LGBTQ+ representation is done well, which of these matters most and which matters least?
- Authentic, well-developed characters
- Diversity within LGBTQ+ identities shown
- Avoiding stereotypes and tropes
- Storylines centered on joy, not just hardship
- Casting LGBTQ+ actors in LGBTQ+ roles
- How often LGBTQ+ characters appear at all
- Quality of the overall storyline
Pick best & worst per setBest:Matters mostWorst:Matters least
Q06
Opinion ScaleRequired
Overall, how satisfied are you with the current state of LGBTQ+ representation in mainstream media?
Scale: 1 – 7
Min:Not at all satisfiedMax:Extremely satisfied
Q07
Multiple ChoiceRequired
Have you specifically sought out a show, movie, or creator because of its LGBTQ+ representation?
- Yes, often
- Yes, a few times
- No, never
- Not sure
Q08
Opinion ScaleRequired
How important is it to you that LGBTQ+ roles are played by LGBTQ+ actors?
Scale: 1 – 5
Min:Not important at allMax:Extremely important
Q09
Short Text
What's one show, movie, or piece of media you feel got LGBTQ+ representation especially right (or wrong)? A title is enough.
Q10
AI Interview
If the respondent named a specific title, have them walk you through the scene, character, or storyline that stood out and why it felt authentic or fell flat — anchor on whether it avoided stereotypes and whether it showed joy versus only hardship. If they didn't name a title or said 'not sure', ask them to describe the most memorable LGBTQ+ character they've seen anywhere and probe the same authenticity questions.
Q11
Message
One last section — a few quick demographic questions to help us understand patterns across different audiences. All are optional.
Q12
Multiple Choice
Which best describes your sexual orientation?
- Lesbian
- Gay
- Bisexual
- Pansexual
- Asexual
- Straight/heterosexual
- Queer
- Prefer not to say
Q13
Multiple Choice
Which best describes your gender identity?
- Woman
- Man
- Non-binary
- Transgender
- Genderqueer or genderfluid
- Prefer not to say
Q14
Multiple Choice
What is your age range?
- Under 18
- 18-24
- 25-34
- 35-44
- 45-54
- 55-64
- 65+
- Prefer not to say
Q15
Message
Thank you for sharing your perspective! Your answers will be combined with others to help creators and platforms understand what authentic, well-loved LGBTQ+ representation actually looks like.
What’s included
AI follow-ups
Adaptive probes on open-ended answers that pull out detail a static form would miss.
Attention checks
Built-in safeguards against rushed answers and low-quality respondents.
AI-drafted copy
Wording, ordering, and branching written by the AI — tuned to your research goal.
Auto report
Themes, quotes, and a plain-English summary write themselves once responses come in.
How it compares
We reviewed the closest templates from other survey tools. Here’s what they do well — and where this template goes further.
Why this template
- Goes beyond frequency and satisfaction ratings with an AI follow-up interview that asks respondents to walk through a specific scene or portrayal that shaped their view, surfacing depth static forms can't capture
- Uses a MaxDiff exercise to force-rank what actually matters when judging representation quality, rather than relying on single agree/disagree items
- Separates behavior (where and how often representation is encountered) from evaluation (authenticity, casting importance, satisfaction) across dedicated question types, then ties it together with an auto-generated report
- Keeps demographic questions (orientation, gender identity, age) at the end with clear framing, and every AI probe/prompt is transparent and reviewable rather than a black box
QuestionPro
LGBT Media Survey Questions + Sample Questionnaire TemplateThis is a direct topical match — a ready-made questionnaire on LGBT media representation with sample questions. It's a static form template rather than an adaptive interview, so all respondents get the same fixed question set regardless of their answers. Good for benchmarking standard question wording, less suited to probing individual stories in depth.
What it does well
- Purpose-built for the LGBT media representation topic, so questions are pre-validated for relevance
- Provided as a sample questionnaire, making it easy to preview and adapt wording quickly
Where it falls short
- Fixed question set with no adaptive follow-up, so it can't dig deeper when a respondent mentions a specific show or scene
- No voice interview option or screen-share task capability
- No published per-response quality scoring or transparent prompt methodology
Jotform
Media Consumption Survey Form TemplateThis is a general-purpose media consumption survey, not specific to LGBTQ+ representation, so it would need substantial customization to fit this use case. It's a static, editable form builder template rather than a fielding-ready LGBTQ+ representation study. Useful mainly as a starting shell for basic media habit questions.
What it does well
- Easy drag-and-drop customization within Jotform's form builder
- Covers general media consumption habits that could be adapted as a base structure
Where it falls short
- Not tailored to LGBTQ+ representation at all — lacks any built-in questions on authenticity, casting, or queer visibility
- Static form with no adaptive AI follow-up interview or voice option
- No automated quality scoring or auto-generated analysis report
Ready to launch?
Open this template in the editor. Every part is yours to change before the first respondent sees it.