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Accessibility UX Survey Template: WCAG & Assistive Tech

Identify accessibility barriers in sessions using assistive tech. 7-10 min survey template exposes WCAG gaps. No personal data collected. Start now.

What's Included

AI-Powered Questions

Intelligent follow-up questions based on responses

Automated Analysis

Real-time sentiment and insight detection

Smart Distribution

Target the right audience automatically

Detailed Reports

Comprehensive insights and recommendations

Sample Survey Items

Q1
Multiple Choice
Which type best describes the digital product you used most recently (past 14 days)?
  • Website on laptop/desktop
  • Website on phone/tablet browser
  • Native mobile app (iOS/Android)
  • Desktop application
Q2
Multiple Choice
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
Q3
Opinion Scale
In a typical month, how often do you use assistive technology for digital products?
Range: 1 10
Min: RarelyMid: About half the timeMax: Always
Q4
Rating
How clear and legible was the content (text, links, visuals) in that session?
Scale: 10 (star)
Min: Hard to see/readMax: Very clear and legible
Q5
Matrix
How easy or difficult was it to operate the interface with your setup?
RowsVery difficultDifficultNeutralEasyVery easyNot applicable
Navigate with keyboard only
Find headings or landmarks (structure)
Operate forms (labels, errors)
Activate menus and toggles
Use a skip link or jump to main content
Dismiss pop-ups or overlays
Q6
Matrix
Thinking about understanding and feedback, how was your experience?
RowsVery difficultDifficultNeutralEasyVery easyNot applicable
Link and button labels are specific
Instructions appear before actions
Error messages explain how to fix issues
Icons also include visible text or labels
Status or content changes are announced by assistive tech
Q7
Multiple Choice
Which blockers 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 issue
  • None of the above
Q8
Long Text
Briefly describe the most significant blocker you faced. Include the page or feature if possible.
Max 600 chars
Q9
Rating
Overall, how much did blockers affect your ability to complete your goal?
Scale: 10 (star)
Min: No impactMax: Stopped me
Q10
Multiple Choice
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
Q11
Opinion Scale
How successfully did you complete your main task in that session?
Range: 1 10
Min: Not completedMid: Partly completedMax: Completed easily
Q12
Ranking
Rank these areas by priority for improvement for you (top = most important).
Drag to order (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)
Q13
Constant Sum
Distribute 100 points across the same improvement areas to reflect their value to you. Total must add to 100.
Total must equal 100
Min per option: 0Whole numbers only
Q14
Opinion Scale
Overall, how would you rate the accessibility of that session?
Range: 1 10
Min: Very poorMid: OkayMax: Excellent
Q15
Multiple Choice
Attention check: To confirm you are paying attention, please select "I am paying attention".
  • I am paying attention
  • I am not paying attention
  • Prefer not to say
Q16
Dropdown
What is your age group?
  • 18–24
  • 25–34
  • 35–44
  • 45–54
  • 55–64
  • 65+
  • Prefer not to say
Q17
Multiple Choice
How do you describe your gender?
  • Woman
  • Man
  • Non-binary
  • Prefer not to say
Q18
Short Text
Country or region you are based in:
Max 100 chars
Q19
Dropdown
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
Q20
Multiple Choice
What is your current employment status?
  • Employed full-time
  • Employed part-time
  • Self-employed
  • Student
  • Unemployed
  • Retired
  • Prefer not to say
Q21
Multiple Choice
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
Q22
Numeric
About how many years have you regularly used assistive technologies?
Accepts a numeric value
Whole numbers only
Q23
Chat Message
Welcome! Please answer based on your most recent session (in the past 14 days) using assistive technology.
Q24
Long Text
What single change would have most improved your experience?
Max 600 chars
Q25
AI Interview
AI Interview: 2 Follow-up Questions on your accessibility experience
AI InterviewLength: 2Personality: Expert InterviewerMode: Fast
Q26
Chat Message
Thank you for your time—your feedback will help improve accessibility for everyone.

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