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.
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
Template Overview
24
Questions
AI-Powered
Smart Analysis
Ready-to-Use
Launch in Minutes
This professionally designed survey template helps you gather valuable insights with intelligent question flow and automated analysis.
Sample Survey Items
Q1
Chat Message
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.
Q2
Multiple Choice
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)
Q3
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
Q4
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
Q5
Dropdown
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
Q6
Opinion Scale
In a typical month, how often do you use assistive technology for digital products?
Range: 1 – 5
Min: RarelyMid: NeutralMax: Daily or almost daily
Q7
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
Other (please specify)
Q8
Opinion Scale
How successfully did you complete your main task in that session?
Range: 1 – 7
Min: Not completed at allMid: NeutralMax: Completed with no difficulty
Q9
Opinion Scale
How clear and legible was the content (text, links, visuals) in that session?
Range: 1 – 7
Min: Not at all clearMid: NeutralMax: Extremely clear
Q10
Opinion Scale
How easy or difficult was it to operate the interface using your assistive technology setup?
How well did the product communicate what was happening — including labels, instructions, error messages, and status updates?
Range: 1 – 7
Min: Very poorlyMid: NeutralMax: Very well
Q12
Multiple Choice
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
Q13
Long Text
Briefly describe the most significant accessibility barrier you faced. Please include the page or feature if possible.
Max chars
Q14
Opinion Scale
Overall, how much did accessibility barriers affect your ability to complete your goal?
Range: 1 – 7
Min: No impact at allMid: NeutralMax: Completely prevented completion
Q15
Ranking
Rank these areas by priority for improvement for you (drag to reorder; top = most important).
Drag to order (top = most important)
Visual clarity (contrast, size)
Keyboard/navigation reliability
Labels and alternative text
Error messages and guidance
Announcements of dynamic changes
Media accessibility (captions, transcripts)
Q16
Opinion Scale
Overall, how would you rate the accessibility of that session?
Range: 1 – 7
Min: Very poorMid: NeutralMax: Excellent
Q17
Long Text
If you could request one change to improve the accessibility of the product you used, what would it be?
Max chars
Q18
AI Interview
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.
AI InterviewLength: 2Personality: [Object Object]Mode: Fast
Reference questions: 6
Q19
Dropdown
What is your age group?
18–24
25–34
35–44
45–54
55–64
65+
Prefer not to say
Q20
Multiple Choice
How do you describe your gender?
Woman
Man
Non-binary
Prefer to self-describe
Prefer not to say
Q21
Long Text
What country or region are you based in?
Max chars
Q22
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
Q23
Multiple Choice
What is your current employment status?
Employed full-time
Employed part-time
Self-employed
Student
Unemployed
Retired
Prefer not to say
Q24
Chat Message
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.
Frequently Asked Questions
What is QuestionPunk?
QuestionPunk is a lightweight survey platform for live AI interviews you control. It's fast, flexible, and scalable—adapting every question in real time, moderating responses across languages, letting you steer prompts, models, and flows, and even generating surveys from a simple prompt. Get interview-grade insight with survey-level speed across qual and quant.
How do I create my first survey?
Sign up, then decide how you want to build: let the AI generate a survey from your prompt, pick a template, or start from scratch. Choose question types, set logic, and preview before sharing.
How can I share surveys with my team?
Send a project link so teammates can view and collaborate instantly.
Can the AI generate a survey from a prompt?
Yes. Provide a prompt and QuestionPunk drafts a survey you can tweak before sending.
How long does support typically take to reply?
We reply within 24 hours—often much sooner. Include key details in your message to help us assist you faster.
Can I export survey results?
Absolutely. Export results as CSV straight from the results page for quick data work.