Media Audit Request Form
CLIENT CONTACT INFORMATION AND LOGISTICS
Client Company
Client Lead
(include Email and Phone)
Due Date mm/dd/yyyy
Time Needed on Due Date (EST) - if appropriate mm/dd/yyyy
Billing Code/ PO Number
(if appropriate)
RESEARCH SCOPE
Company/Topic to be Researched
Additional Companies/ Organizations/ Customers for Research
Industry
Geography to Research
Timeframe to Research
Format of Report
Microsoft Powerpoint
Microsoft Word
Microsoft Excel
Other …… (Please explain)
 
Key Information Sources, if Known
(e.g. Databases, Trade Web Sites)
Necessary Documents for EmPower to Use
(e.g. Output Template) - Please list here
Target Audience for Report
OBJECTIVE OF RESEARCH
Objective Research
DESCRIPTION OF THE SITUATION
Description Of The Situation
KEY QUESTIONS TO BE ANSWERED
Key Questions To Be Answered
DATA COLLECTION
Media Types
Sources
(e.g. Factiva, Google News, Newsedge, Lexis Nexis, Pink Sheet)
DATA ANALYSIS
Sampling and Sampling Details
Analysis Type
(e.g. volume/ S.O.V./ Tonality/ Key Theme analysis etc)
Outlet Type Emphasis
(Consumer vs. Professional/Trade)
Other Areas/Publications for Emphasis
OUTPUT PARAMETERS
Quantitative
Qualitative