Digital Impact Assessment Questionnaire Form
Evaluate how a digital product, service, or initiative influences user experience, operational efficiency, and overall outcomes. Please answer all questions honestly to help us understand the impact.
Your Role or Relationship to the Digital Product
*
Please Select
End User
Administrator
Manager/Supervisor
IT/Technical Staff
Other
How frequently do you use this digital product, service, or initiative?
*
Daily
Several times a week
Weekly
Monthly or less
Overall, how satisfied are you with the digital product, service, or initiative?
*
1
2
3
4
5
Please rate the following aspects of your experience:
*
Rows
Very Poor
Poor
Average
Good
Excellent
Ease of Use
1
2
3
4
5
Reliability
6
7
8
9
10
Performance/Speed
11
12
13
14
15
Visual Appeal
16
17
18
19
20
How has this digital product, service, or initiative affected your workflow or daily tasks?
*
Significantly improved
Somewhat improved
No change
Somewhat worsened
Significantly worsened
To what extent has the digital product, service, or initiative achieved its intended outcomes?
*
Fully achieved
Mostly achieved
Partially achieved
Not achieved
Not sure
How likely are you to recommend this digital product, service, or initiative to others?
*
Not at all likely
0
1
2
3
4
5
6
7
8
9
Extremely likely
10
0 is Not at all likely, 10 is Extremely likely
What is the most significant benefit you have experienced?
What is the most significant challenge or drawback you have encountered?
Additional comments or suggestions
Submit Assessment
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