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Accessibility Survey Template: User Flows & Assistive Tech

Test user flows; collect feedback on screen readers, keyboard nav, and voice control. Customizable to spot barriers and improve WCAG compliance. 8-10 min

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
In the past 30 days, which assistive technologies or accessibility tools have you used on websites or apps? Select all that apply.
  • Screen reader
  • Screen magnifier / Zoom
  • Keyboard-only navigation
  • Switch control / switches
  • Voice control / dictation
  • Refreshable braille display
  • High-contrast or custom color schemes
  • Captions or transcripts
  • Other (please specify)
  • I do not use assistive technologies
Q2
Dropdown
Which is your primary assistive technology when using websites or apps?
  • Screen reader
  • Screen magnifier / Zoom
  • Keyboard-only navigation
  • Switch control / switches
  • Voice control / dictation
  • Refreshable braille display
  • High-contrast or custom color schemes
  • Captions or transcripts
  • Other / not listed
  • Not applicable — I do not use assistive technologies
Q3
Short Text
If you selected Other, please name or briefly describe the tool. (Optional)
Max 100 chars
Q4
Multiple Choice
What device do you primarily use for online tasks?
  • Desktop or laptop computer
  • Smartphone
  • Tablet
  • Multiple devices equally
Q5
Multiple Choice
Which browsers or in-app webviews do you use most often? Select all that apply.
  • Chrome
  • Firefox
  • Safari
  • Microsoft Edge
  • Internet Explorer 11 (legacy)
  • Opera
  • Android WebView
  • In-app browser (e.g., Facebook, X, Instagram)
  • Other
Q6
Multiple Choice
Attention check: To confirm you are paying attention, please select only "I am paying attention."
  • I am paying attention
  • I am not paying attention
  • Prefer not to answer
Q7
Multiple Choice
In the past 30 days, which of these tasks or flows have you attempted on any site or app? Select all that apply.
  • Sign up or sign in
  • Search or browse content
  • Checkout or purchase
  • Fill out forms
  • Upload or download files
  • Update profile or settings
  • Navigate between sections or pages
  • Notifications or messages
Q8
Matrix
For the flows you attempted, how easy or difficult were they recently? Rate only the ones you attempted.
Rows1 Very difficult2 Difficult3 Neither easy nor difficult4 Easy5 Very easyNot applicable
Sign up or sign in••••••
Search or browse content••••••
Checkout or purchase••••••
Fill out forms••••••
Upload or download files••••••
Update profile or settings••••••
Navigate between sections or pages••••••
Notifications or messages••••••
Q9
Opinion Scale
Overall, how often do you successfully complete your tasks using your setup? If you use assistive technologies, answer based on using them; otherwise answer based on your usual setup.
Range: 1 – 10
Min: Never succeedMid: About halfMax: Always succeed
Q10
Numeric
About how many accessibility blockers did you encounter in the last 30 days? Enter a whole number.
Accepts a numeric value
Whole numbers only
Q11
Ranking
Rank the barriers that slow you down the most (top = most impact).
Drag to order (top = most important)
  1. Missing or incorrect labels/announcements
  2. Keyboard traps or missing skip links
  3. Unexpected focus order
  4. Low contrast or small touch targets
  5. Form errors not announced
  6. Live updates not announced (dynamic content changes)
Q12
Rating
Overall, how severe were accessibility issues for you in the past 30 days?
Scale: 10 (star)
Min: No issuesMax: Severe issues
Q13
Long Text
Please describe one recent accessibility issue you experienced and where it occurred. Include steps to reproduce if possible.
Max 600 chars
Q14
Dropdown
What is your age group?
  • 18–24
  • 25–34
  • 35–44
  • 45–54
  • 55–64
  • 65+
  • Prefer not to say
Q15
Dropdown
Which of the following best describes your gender identity?
  • Woman
  • Man
  • Non-binary
  • Prefer to self-describe
  • Prefer not to say
Q16
Short Text
If you prefer to self-describe your gender, you may enter it here. (Optional)
Max 100 chars
Q17
Dropdown
Where do you currently live?
  • Africa
  • Asia
  • Europe
  • North America
  • Oceania
  • South America
  • Prefer not to say
Q18
Dropdown
What is the highest level of education you have completed?
  • Less than high school
  • High school or equivalent
  • Some college or associate degree
  • Bachelor’s degree
  • Master’s degree
  • Doctorate
  • Prefer not to say
Q19
Multiple Choice
What is your current employment status? Select all that apply.
  • Full-time
  • Part-time
  • Self-employed
  • Student
  • Unemployed
  • Retired
  • Not able to work
  • Prefer not to say
Q20
Multiple Choice
Which access needs apply to you? Select all that you wish to share.
  • Blind or low vision
  • Deaf or hard of hearing
  • Cognitive or learning
  • Motor or dexterity
  • Speech
  • Neurodivergent
  • Chronic pain or fatigue
  • Prefer not to say
Q21
Long Text
Any additional comments or examples about your recent experience? (Optional)
Max 600 chars
Q22
AI Interview
AI Interview: 2 Follow-up Questions on your assistive technology use and the accessibility of common digital flows
AI InterviewLength: 2Personality: Expert InterviewerMode: Fast
Q23
Chat Message
Thank you for your time—your feedback helps improve accessibility. You can submit your response now.

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