Q01
Long Text
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Digital Accessibility Barriers & Assistive Technology Experience Survey
Evaluates digital accessibility barriers, assistive technology usage patterns, and task completion experiences to identify WCAG compliance gaps and prioritize UX improvements for users with diverse access needs.
Sample questions
A preview of what’s in the template. Every question is editable before you launch.
23 questions · ~4 min
Q02
Multiple Choice
In the past 30 days, which assistive technologies or accessibility tools have you used on websites or apps? Select all that apply.
Q03
Multiple Choice
In the past 30 days, which of the following tasks have you attempted on any website or app? Select all that apply.
Q04
Multiple Choice
Which of the following barriers have the most impact on your experience? Select up to 3.
Q05
AI Interview
We'd like to learn more about your specific experiences with assistive technology and digital accessibility. An AI moderator will ask you a couple of follow-up questions based on your earlier responses.
Q06
Multiple Choice
Which access needs apply to you? Select all that you wish to share.
Q07
Long Text
Thank you for your time — your feedback directly helps improve digital accessibility for everyone. You may now submit your response.
Q08
Long Text
Which is your primary assistive technology when using websites or apps?
Q09
Long Text
Thinking about the tasks you attempted in the past 30 days, how easy or difficult were they overall to complete with your current setup?
Q10
Long Text
Overall, how severe were the accessibility issues you experienced in the past 30 days?
Q11
Long Text
Based on the experiences you described in this survey, is there anything else you would like to share about digital accessibility? (Optional)
Q12
Long Text
What is your age group?
Q13
Long Text
If you selected 'Other' above, please name or briefly describe the assistive technology or tool you use. (Optional)
Q14
Long Text
Overall, how often are you able to successfully complete your intended tasks using your current setup?
Q15
Long Text
Please describe one recent accessibility issue you experienced, including where it occurred (website, app, or specific page). If you can recall the steps that led to the issue, please include them.
Q16
Long Text
Which of the following best describes your gender identity?
Q17
Multiple Choice
What device do you primarily use for online tasks?
Q18
Multiple Choice
Approximately how many accessibility blockers did you encounter in the past 30 days?
Q19
Long Text
If you prefer to self-describe your gender identity, please do so here. (Optional)
Q20
Multiple Choice
Which browsers or in-app webviews do you use most often? Select all that apply.
Q21
Long Text
In which region do you currently live?
Q22
Long Text
What is the highest level of education you have completed?
Q23
Multiple Choice
What is your current employment status? Select all that apply.
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.