Assistive Device Usability Survey Form
Your feedback on your experience with the assistive device helps us improve its usability and functionality. Please answer the following questions based on your recent usage.
How easy was it to learn how to use the assistive device?
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5
How comfortable do you find the assistive device during regular use?
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1
2
3
4
5
How effective is the device in helping you accomplish your intended tasks?
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2
3
4
5
How reliable has the device been in your experience?
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5
How accessible are the device's controls and features?
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5
Which best describes your overall satisfaction with the assistive device?
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Very satisfied
Satisfied
Neutral
Dissatisfied
Very dissatisfied
Have you experienced any issues or difficulties while using the device?
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No issues
Minor issues
Major issues
How would you rate the quality of support or documentation provided with the device?
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1
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5
How likely are you to recommend this device to others?
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Not likely
1
2
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4
5
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7
8
9
Extremely likely
10
1 is Not likely, 10 is Extremely likely
Please share any additional comments, suggestions, or feedback about your experience.
Submit Feedback
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