すべてのテンプレート
Product & UX

Assistive Technology Accessibility Experience Survey

Captures accessibility barriers and WCAG compliance gaps reported by assistive technology users during real digital product sessions. Designed for UX and accessibility teams seeking to prioritize remediation based on user-reported severity and impact.

設問の例

テンプレートの内容をプレビューできます。すべての設問は公開前に自由に編集できます。

全24問・約11分
Q01
メッセージ

Welcome to this accessibility experience survey. We are interested in your honest feedback about a recent digital product session where you used assistive technology. There are no right or wrong answers — we want your genuine experience. Your responses are confidential and will be reported only in aggregate. Participation is voluntary and you may stop at any time. No personally identifiable data is collected. Estimated time: 7–10 minutes. Please answer based on your most recent session within the past 14 days.

Q02
選択式

Which type best describes the digital product you used most recently (within the past 14 days)?

  • Website on laptop/desktop
  • Website on phone/tablet browser
  • Native mobile app (iOS/Android)
  • Desktop application
  • Other (please specify)
Q03
選択式

Which tasks did you attempt in that session? Select all that apply.

  • Sign in or register
  • Search or browse content
  • Complete a form
  • Purchase or checkout
  • Upload or download files
  • Watch or listen to media
  • Change settings or preferences
  • Contact support or chat
  • Other (please specify)
Q04
オピニオンスケール

How clear and legible was the content (text, links, visuals) in that session?

スケール: 1 – 7
最小:Not at all clear最大:Extremely clear
Q05
選択式

Which accessibility barriers, if any, did you encounter in that session? Select all that apply.

  • Low text contrast
  • Small or dense touch targets
  • Missing or poor alt text
  • No visible focus indicator
  • Keyboard traps
  • Unlabeled buttons or links
  • Ambiguous or missing error messages
  • Dynamic content not announced
  • CAPTCHA without an accessible alternative
  • Session timeouts too short
  • Motion/animation cannot be reduced
  • Other accessibility barrier
  • None of the above
Q06
ランク付け

Rank these areas by priority for improvement for you (drag to reorder; top = most important).

  1. Visual clarity (contrast, size)
  2. Keyboard/navigation reliability
  3. Labels and alternative text
  4. Error messages and guidance
  5. Announcements of dynamic changes
  6. Media accessibility (captions, transcripts)
ドラッグして順位を付ける
Q07
自由回答(長文)

If you could request one change to improve the accessibility of the product you used, what would it be?

Q08
プルダウン

What is your age group?

  • 18–24
  • 25–34
  • 35–44
  • 45–54
  • 55–64
  • 65+
  • Prefer not to say
Q09
メッセージ

Thank you for your time — your feedback will directly help improve accessibility for everyone. Your responses are confidential and will be used to prioritize accessibility improvements.

Q10
選択式

Which assistive technologies did you use during that session? Select all that apply.

  • Screen reader
  • Screen magnifier/zoom
  • High contrast or custom colors
  • Voice control/dictation
  • Switch control
  • Keyboard-only navigation
  • Captions or transcripts
  • Read-aloud (not a full screen reader)
  • Alternative pointer (e.g., eye tracking, head mouse)
  • Other assistive tech
  • None of the above
Q11
オピニオンスケール

How successfully did you complete your main task in that session?

スケール: 1 – 7
最小:Not completed at all最大:Completed with no difficulty
Q12
オピニオンスケール

How easy or difficult was it to operate the interface using your assistive technology setup?

スケール: 1 – 7
最小:Extremely difficult最大:Extremely easy
Q13
自由回答(長文)

Briefly describe the most significant accessibility barrier you faced. Please include the page or feature if possible.

Q14
オピニオンスケール

Overall, how would you rate the accessibility of that session?

スケール: 1 – 7
最小:Very poor最大:Excellent
Q15
AIインタビュー

Based on your responses in this survey, we'd like to understand your accessibility experience in more depth. Please share any additional context about the barriers you encountered or what an ideal accessible experience would look like for you.

Q16
選択式

How do you describe your gender?

  • Woman
  • Man
  • Non-binary
  • Prefer to self-describe
  • Prefer not to say
Q17
選択式

Which devices do you primarily use with assistive technology? Select all that apply.

  • Windows PC
  • Mac
  • Chromebook
  • iPhone/iPad (iOS/iPadOS)
  • Android phone/tablet
  • Other
Q18
オピニオンスケール

How well did the product communicate what was happening — including labels, instructions, error messages, and status updates?

スケール: 1 – 7
最小:Very poorly最大:Very well
Q19
オピニオンスケール

Overall, how much did accessibility barriers affect your ability to complete your goal?

スケール: 1 – 7
最小:No impact at all最大:Completely prevented completion
Q20
自由回答(長文)

What country or region are you based in?

Q21
プルダウン

Approximately how long have you regularly used assistive technologies?

  • Less than 1 year
  • 1–3 years
  • 4–6 years
  • 7–10 years
  • More than 10 years
  • Prefer not to say
Q22
プルダウン

What is the highest level of education you have completed?

  • Less than high school
  • High school or equivalent
  • Some college or vocational training
  • Bachelor's degree
  • Graduate or professional degree
  • Prefer not to say
Q23
オピニオンスケール

In a typical month, how often do you use assistive technology for digital products?

スケール: 1 – 5
最小:Rarely最大:Daily or almost daily
Q24
選択式

What is your current employment status?

  • Employed full-time
  • Employed part-time
  • Self-employed
  • Student
  • Unemployed
  • Retired
  • Prefer not to say

含まれる機能

  • AIによる深掘り

    自由回答に合わせてAIが追加で質問し、固定のフォームでは拾えない具体的な内容を引き出します。

  • 注意確認設問

    急いだ回答や質の低い回答者を除外する仕組みを標準で備えています。

  • AIが作成する設問文

    文言、設問の順序、条件分岐をAIが調査の目的に合わせて作成します。

  • 自動レポート

    回答が集まると、テーマ、引用、わかりやすい要約が自動で作成されます。

他ツールとの比較

ほかのアンケートツールで最も近いテンプレートを調べました。それぞれの優れている点と、このテンプレートがさらに踏み込んでいる点をまとめています。

このテンプレートを選ぶ理由

  • Built specifically around assistive technology users' real sessions with digital products, not generic workplace or technology topics — covering device/AT type, task attempted, and barriers encountered
  • Uses opinion-scale questions to quantify legibility, operability, communication clarity, and overall accessibility, paired with an open-text question for the single most significant barrier
  • Includes a ranking question so respondents prioritize improvement areas themselves, directly supporting remediation prioritization by severity/impact
  • Adds an AI follow-up interview after the structured questions to probe deeper into each respondent's accessibility experience, something static form builders cannot do

SurveySparrow

Workplace Accessibility Survey Template

This is a static, fielding-ready template focused on workplace/employee accessibility accommodations rather than digital product WCAG compliance or assistive-technology user experience. It's a reasonable comparison on the general accessibility topic but targets a different audience (employees generally, not AT users testing digital products). No mechanism for adaptive follow-up on reported barriers.

優れている点

  • Ready-to-deploy survey template within an established survey platform
  • Likely includes standard accessibility/accommodation question sets for HR/workplace use
  • Part of a broader employee-experience template library

物足りない点

  • Static question set with no adaptive AI follow-up to probe reported barriers further
  • Focused on workplace accommodations, not digital product/WCAG-specific accessibility gaps
  • No per-response quality scoring or automated severity-based reporting

Jotform

600+ Technology Surveys

This is a broad category/listing page of generic technology survey templates rather than an accessibility- or assistive-technology-specific template. It's useful as a form-building starting point but requires significant customization to address WCAG compliance or AT-user barriers. No accessibility-specific question logic is evident.

優れている点

  • Large library of technology-related templates to choose from
  • Drag-and-drop form builder for quick customization
  • Established platform with broad integration options

物足りない点

  • No accessibility- or assistive-technology-specific template in view; generic tech survey content
  • Static forms with no adaptive AI interviewing to explore user-reported barriers
  • No automated quality scoring or severity-based reporting for remediation prioritization

QuestionPro

Technology Survey Questions + Sample Questionnaire Template

This page functions more as a guide with sample technology survey questions than a ready-made accessibility-specific instrument. It covers general technology usage/satisfaction rather than assistive-technology barriers or WCAG gaps, so teams would need to build the accessibility-specific content themselves.

優れている点

  • Sample question bank for general technology topics
  • Backed by an established survey research platform
  • Guidance-style content useful for question design ideas

物足りない点

  • Not an accessibility- or AT-specific template; requires substantial rebuilding for this use case
  • No adaptive AI follow-up or voice interview capability for probing barriers
  • No transparent prompt methodology or automated per-response severity scoring

よくあるご質問

「Assistive Technology Accessibility Experience Survey」テンプレートにはどのような設問が含まれていますか?

すぐに使える設問が24問含まれており、最初の設問は次のとおりです:「Welcome to this accessibility experience survey. We are interested in your honest feedback about a recent digital produc…」・「Which type best describes the digital product you used most recently (within the past 14 days)?」・「Which tasks did you attempt in that session? Select all that apply.」。すべての設問は上でプレビューでき、自由に編集できます。

このアンケートの回答にはどのくらい時間がかかりますか?

回答者は通常、24問を約11分で回答し終えます。

テンプレートは編集できますか?

はい。公開前であれば、すべての設問、選択肢、順序を編集できます。設問の追加や削除のほか、調査の目的に合わせた作り直しをAIエディターに依頼することもできます。

このテンプレートは無料で使えますか?

はい。エディターで開けば、すぐに編集を始められます。お試しにアカウントは不要で、無料プランでアンケートを公開できます。

公開の準備はできましたか?

このテンプレートをエディターで開いてみてください。最初の回答者が目にする前に、すべてを自由に変更できます。

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