Internet Accessibility Survey

In order for everyone to have an equal opportunity on the web, some features need to be implemented on as many websites as possible to ensure those with disabilities are able to effectively browse and communicate via the Internet.

(Also - I have dark and light mode!)

View wireframe + paper drafts

A screenshot of a wireframe for this form.

Two sheets of paper, one with the plans and one with a rough sketch of the form.

Question #1

Do you have a disability or similar condition? Select all that apply.

Blind / visual impairment Deaf / hard-of-hearing Developmental disability (ADHD, Autism, etc.) Neurological / Motor disability (Parkinson's, Epilepsy, etc.) Other, please specify:

I do not have a disability or do not wish to disclose.

Question #2

Which, if any, accessibility options do you use on your devices? Select all that apply.

Vision-based features (voiceover, text-to-speech, larger text, audio descriptions, etc.) Sound-based features (hearing aid connectivity, sound recognition, subtitles / live captions, etc.) Physical features (touch-based settings and gestures, head and eye tracking, etc.) Speech features (voice dictation, vocal controls, etc.) Other, please specify:

I do not use accessibility features.

Question #3

Please discuss an accessibility feature that you feel is lacking.

You can type your response below, or attach a video / audio file.

File upload (optional):

Question #4

What type of phone do you usually use?

Question #5

Do you feel that the websites and services you use online are accessible?

Yes No Add more information (optional):

Do you wish to create an account to save your responses?

Yes Email address: Password: No, submit anonymously