Usability Testing Screening
Exit this survey
1.
The questions below will help to ensure we recruit a mix of users with different backgrounds and skill levels for our testing. Thank you for taking a moment to complete this survey.
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1
. Are you male or female?
Are you male or female?
Male
Female
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2
. Do you, or does anyone in your home, work for Tri-County Electric?
Do you, or does anyone in your home, work for Tri-County Electric?
Yes
No
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3
. Which of the following best describes your age?
Which of the following best describes your age?
18 to 25
26 to 39
40 to 59
60 to 74
75 and older
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4
. For observation and data collection purposes, usability sessions will be recorded via desktop recording software and possibly with video or audio. However, personally identifiable information will not be used in the testing report. Are you willing to sign a recording release form?
For observation and data collection purposes, usability sessions will be recorded via desktop recording software and possibly with video or audio. However, personally identifiable information will not be used in the testing report. Are you willing to sign a recording release form?
Yes
No
5
. What is your current work position and title? If unemployed, leave blank or enter 'none.'
What is your current work position and title? If unemployed, leave blank or enter 'none.'
6
. Which of the following best describes your work environment?
Which of the following best describes your work environment?
Commercial business
Nonprofit
Government agency
Self-employed
Unemployed
Other (please specify)
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7
. Which of the following describes your highest level of education?
Which of the following describes your highest level of education?
Some high school
High school graduate/GED
Some college
College graduate
Postgraduate (MA/PhD)
Other (please specify)
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8
. Beside read email, what are typical activities you do on the computer? (Choose all that apply.)
Beside read email, what are typical activities you do on the computer? (Choose all that apply.)
Gaming/entertainment
Reading the news
Shopping/banking
Graphic design/digital pictures
Word processing
Other (please specify)
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9
. About how many hours per week do you spend on the computer?
About how many hours per week do you spend on the computer?
0 to 10
11 to 25
26+ hours
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10
. What Internet browser do you usually use?
What Internet browser do you usually use?
Mozilla Firefox
Internet Explorer
Both Firefox and Explorer
Other (please specify)
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11
. In the last year, how often have you visited the tri-countyelectric.coop Web site to locate information?
In the last year, how often have you visited the tri-countyelectric.coop Web site to locate information?
Often or Daily
Once or twice a week
Once or twice a month
A couple of times in the last year
Never
Other (please specify)
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12
. Please provide your contact information so we may setup a testing date and time if you are selected to participate in the testing.
Please provide your contact information so we may setup a testing date and time if you are selected to participate in the testing.
Name:
Address:
Address 2:
City/Town:
State:
-- select state --
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP/Postal Code:
Country:
Email Address:
Phone Number:
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