| Date: _______________ | Time: _________ | Test User ID: __________ |
{The facilitator should ask the questions and fill out the form.}
| Gender: |
[ ] man [ ] woman [ ] non-binary [ ] prefer not to disclose [ ] prefer to self-describe, ____________________ |
| Age: | ____________ |
| Occupation: | ________________________ |
1. What is the highest level of education you have attained?
[ ] Vocational Training [ ] A Levels [ ] Bachelor
[ ] Master [ ] Doctorate
2. If you are a student or graduate, please describe your main area of study:
___________________________________
1. Which kind of personal computer do you use most?
[ ] None [ ] Microsoft Windows [ ] Apple Macintosh
[ ] Unix [ ] Other __________
2. How long have you been using a personal computer?
_____ years
3. In a typical week, how many hours do you use a personal computer?
_____ hours
1. Which kind of tablet do you use most?
[ ] None [ ] Android [ ] Apple (iOS) [ ] Other __________
2. How long have you been using a tablet?
_____ years
3. In a typical week, how many hours do you use a tablet?
_____ hours
1. Which kind of smartphone do you use most?
[ ] None [ ] Android [ ] Apple (iOS) [ ] Other __________
2. How long have you been using a smartphone?
_____ years
3. In a typical week, how many hours do you use a smartphone?
_____ hours
1. Which kind of device do you use most often to surf the web?
[ ] Desktop [ ] Laptop [ ] Tablet
[ ] Smartphone [ ] Other __________
2. What kind of internet connection do you normally use?
[ ] xDSL [ ] Cable [ ] Fibre Optic
[ ] 3G [ ] 4G [ ] Other __________
3. Which web browser do you normally use?
[ ] Chrome [ ] Firefox [ ] Safari [ ] Edge [ ] Other __________
4. In a typical week, how many hours do you use the World Wide Web?
_____ hours
{Questions to do with the specific topic of this test.}
{Create three domain-specific questions applicable to your test web site here.}
1. Have you participated in a usability study before?
[ ] as a test user [ ] as part of the test team
If yes, what kind of study was it?
[ ] Thinking Aloud [ ] Formal Experiment [ ] Other __________