National Geographic Learning Usability Test
Participant Survey

Author: Mary Schwab

1.     Please tell us your name: [short answer form field]

2.     What is your age? [select one]

• Under 18 years old

• 18 – 24 years old

• 25 – 34 years old

• 35 – 44 years old

• 45 – 54 years old

• 55 – 64 years old

• 65 years or older

3.     What gender do you identify as? [select one]

• Male

• Female

• Gender nonconforming/non-binary

• Prefer not to answer

4.     This study is focused on blind or visually impaired people who use a laptop or desktop computer regularly. What type of laptop or desktop do you use on a regular basis?  [select all that apply]

• Windows desktop

• Windows laptop

• Apple desktop (Mac)

• Apple laptop (Macbook)

• Chromebook

• Other, please specify

5.     What types of assistive technology do you currently use on the laptop or desktop device(s) you selected in the previous question? [select all that apply]

• NVDA

• JAWS

• Android TalkBack with screen reader

• VoiceOver for Mac

• Fusion

• Screen magnifier

• Chromevox

• Refreshable braille display

• Other, please specify

6.     How many years have you used your current assistive technology? [short answer form field]

7.     What internet browser do you use on your device? [select all that apply]

• Google Chrome

• Firefox

• Safari

• Internet Explorer

• Microsoft Edge

• Other, please specify

8.     Please describe how you learned to use your assistive technology [select all that apply]

• Self taught

• Received professional training

• Other, please specify

9.     If you are selected for this study, we will contact you via email. Your email will be used exclusively for this purpose. Please enter your email address: [short answer form field]