Q01
Long Text
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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.
Sample questions
A preview of what’s in the template. Every question is editable before you launch.
24 questions · ~4 min
Q02
Multiple Choice
Which type best describes the digital product you used most recently (within the past 14 days)?
Q03
Multiple Choice
Which tasks did you attempt in that session? Select all that apply.
Q04
Long Text
How clear and legible was the content (text, links, visuals) in that session?
Q05
Multiple Choice
Which accessibility barriers, if any, did you encounter in that session? Select all that apply.
Q06
Long Text
Rank these areas by priority for improvement for you (drag to reorder; top = most important).
Q07
Long Text
If you could request one change to improve the accessibility of the product you used, what would it be?
Q08
Long Text
What is your age group?
Q09
Long Text
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
Multiple Choice
Which assistive technologies did you use during that session? Select all that apply.
Q11
Long Text
How successfully did you complete your main task in that session?
Q12
Long Text
How easy or difficult was it to operate the interface using your assistive technology setup?
Q13
Long Text
Briefly describe the most significant accessibility barrier you faced. Please include the page or feature if possible.
Q14
Long Text
Overall, how would you rate the accessibility of that session?
Q15
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.
Q16
Multiple Choice
How do you describe your gender?
Q17
Multiple Choice
Which devices do you primarily use with assistive technology? Select all that apply.
Q18
Long Text
How well did the product communicate what was happening — including labels, instructions, error messages, and status updates?
Q19
Long Text
Overall, how much did accessibility barriers affect your ability to complete your goal?
Q20
Long Text
What country or region are you based in?
Q21
Long Text
Approximately how long have you regularly used assistive technologies?
Q22
Long Text
What is the highest level of education you have completed?
Q23
Long Text
In a typical month, how often do you use assistive technology for digital products?
Q24
Multiple Choice
What is your current employment status?
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.
Ready to launch?
Open this template in the editor. Every part is yours to change before the first respondent sees it.