Q01
Message
All templatesProduct & UX
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 · ~10 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.
- 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
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.
- 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
Q04
Multiple Choice
Which of the following barriers have the most impact on your experience? Select up to 3.
- Missing or incorrect labels/announcements
- Keyboard traps or missing skip links
- Unexpected focus order
- Low contrast or small touch targets
- Form errors not announced
- Live updates not announced (dynamic content changes)
- Other (please specify)
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.
- 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
Q07
Message
Thank you for your time — your feedback directly helps improve digital accessibility for everyone. You may now submit your response.
Q08
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
Q09
Opinion Scale
Thinking about the tasks you attempted in the past 30 days, how easy or difficult were they overall to complete with your current setup?
Scale: 1 – 7
Min:Extremely difficultMax:Extremely easy
Q10
Opinion Scale
Overall, how severe were the accessibility issues you experienced in the past 30 days?
Scale: 1 – 7
Min:Not at all severeMax:Extremely severe
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
Dropdown
What is your age group?
- 18–24
- 25–34
- 35–44
- 45–54
- 55–64
- 65+
- Prefer not to say
Q13
Long Text
If you selected 'Other' above, please name or briefly describe the assistive technology or tool you use. (Optional)
Q14
Opinion Scale
Overall, how often are you able to successfully complete your intended tasks using your current setup?
Scale: 1 – 7
Min:NeverMax:Always
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
Dropdown
Which of the following best describes your gender identity?
- Woman
- Man
- Non-binary
- Prefer to self-describe
- Prefer not to say
Q17
Multiple Choice
What device do you primarily use for online tasks?
- Desktop or laptop computer
- Smartphone
- Tablet
- Multiple devices equally
- Other (please specify)
Q18
Multiple Choice
Approximately how many accessibility blockers did you encounter in the past 30 days?
- None
- 1–2
- 3–5
- 6–10
- More than 10
- Not sure
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.
- Chrome
- Firefox
- Safari
- Microsoft Edge
- Opera
- Samsung Internet
- Android WebView
- In-app browser (e.g., Facebook, X, Instagram)
- Other (please specify)
Q21
Dropdown
In which region do you currently live?
- Africa
- Asia
- Europe
- North America
- Oceania
- South America
- Prefer not to say
Q22
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
Q23
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
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.
How it compares
We reviewed the closest templates from other survey tools. Here’s what they do well — and where this template goes further.
Why this template
- Includes an adaptive AI follow-up interview that lets respondents describe specific accessibility barriers in their own words, going beyond fixed-choice fields to probe details on assistive tech workarounds and task friction.
- Combines quantitative severity and task-completion opinion scales with an open-text incident description question, giving both trend data and rich qualitative evidence for WCAG gap prioritization.
- Captures granular assistive technology usage (primary AT, device, browser/webview) alongside self-reported access needs and demographics, enabling cross-tabulation of barriers by user segment.
- Every AI-generated follow-up question is shown transparently, and responses are auto-scored for quality, so accessibility researchers can trust and audit the qualitative data feeding into the auto-generated report.
SurveySparrow
Workplace Accessibility Survey TemplateA fielding-ready static template focused on workplace accessibility perceptions and accommodations, making it a genuine topical competitor. It's built around fixed question sets rather than adaptive probing, so depth on specific barriers relies on how well the pre-written questions anticipate respondent situations. Framing skews toward internal workplace/employee accessibility rather than public-facing digital product/UX accessibility.
What it does well
- Purpose-built for accessibility topics rather than a generic repurposed survey
- Likely quick to deploy with SurveySparrow's existing survey distribution and reporting tools
- Employee/workplace framing may suit HR-driven accessibility audits
Where it falls short
- Static question set with no adaptive AI follow-up to dig into individual barrier descriptions
- No mention of task-based or screen-share assessment of actual assistive technology use
- No transparent prompt methodology or automated per-response quality scoring is published
Ready to launch?
Open this template in the editor. Every part is yours to change before the first respondent sees it.
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