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User Testing Intake Questionnaire v3

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WID regularly conducts user testing sessions in order to improve the accessibility of products and services for people with disabilities. If you are interested in participating, please, fill out the questionnaire below. Please, answer all questions to the best of your ability. It is important that we have as much information as possible in order to place you in the appropriate user testing session. 

If you qualify for an upcoming session, you will be notified by a WID staff member, who will discuss scheduling and compensation with you. 

Thank you for your interest in improving accessibility!

Note: Please, only fill out the application more than once if you need to update information.
4. Gender
This question requires a valid email address.
11. Phone Brand *This question is required.
13. Preferred contact method? *This question is required.
14. What type(s) of disability do you have? Please check all that apply. *This question is required.
16. What type(s) of cognitive disability do you have? Please check all that apply.
18. What type(s) of mental health disabilities do you have? Please check all that apply.
20. Which accessible technologies do you use? Please check all that apply.
22. Are you a parent of an adult with a disability? *This question is required.
23. Have you ever participated in user testing? *This question is required.
24. How technologically savvy are you? *This question is required.
25. Which computer operating system(s) do you use at home? *This question is required.
26. Are you interested in participating in focus groups? *This question is required.
27. Are you interesting in participating in online surveys? *This question is required.
28. Which payment method would you prefer? *This question is required.
29. How did you hear about us? *This question is required.
Please note: answering no to any of the following questions may prevent you from being eligible for some studies.
30. Are you willing to travel to a local testing site? *This question is required.
31. Are you able to independently operate Zoom? *This question is required.
32. Are you willing to be on video and recorded during usability sessions? (for research study purposes only) *This question is required.