Experience-Based Design Feedback Survey
Help us improve by sharing your experience and insights on our design.
Which design or product are you providing feedback on?
*
Please Select
Website
Mobile App
Physical Product
Service Experience
Other
How did you interact with the design?
*
First-time user
Occasional user
Regular user
Other
Please rate the following aspects of your experience:
*
Rows
Very Poor
Poor
Neutral
Good
Excellent
Ease of Use
1
2
3
4
5
Visual Appeal
6
7
8
9
10
Functionality
11
12
13
14
15
Navigation
16
17
18
19
20
Responsiveness
21
22
23
24
25
How satisfied are you with your overall experience?
*
Not Satisfied
1
2
3
4
5
6
7
8
9
Extremely Satisfied
10
1 is Not Satisfied, 10 is Extremely Satisfied
Which features did you find most useful? (Select all that apply)
Design/Layout
Performance/Speed
Accessibility
Customer Support
Other
Did you encounter any issues or challenges?
*
Yes
No
If yes, please describe the issues or challenges you faced.
What suggestions do you have for improving the design?
Would you recommend this design/product to others?
*
Definitely
Probably
Not Sure
Probably Not
Definitely Not
Please share any additional comments or feedback.
What is your age group?
Please Select
Under 18
18-24
25-34
35-44
45-54
55+
Prefer not to say
What is your gender?
Female
Male
Non-binary/Third gender
Prefer not to say
Submit Feedback
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