SURVEY QUESTIONNAIRE ON INNOVATIONS’ USER EXPERIENCE
PART 1. DEMOGRAPHIC PROFILE
1. Age
Under 18 25-34 55-64
18-24 45-54 65+
2. Gender
Male Prefer not to say
Female Other (please specify): ______________________
3. Education Level
Elementary Level High School Level College Level Postgraduate
Elementary Graduate High School Graduate College Graduate
4. Employment Status
Employed (full-time/part-time) Student
Self-employed Retired
5. Area of Residence
Urban Suburban Rural
6. Frequency of Technology Use
Daily Several times a week Once a week Less than once a week
PART 2. EVALUATION OF USER EXPERIENCE
5 4 3 2 1
(Strongly (Agree) (Neither (Disagree) (Strongly
A. USABILITY Agree) Agree or Disagree)
Disagree
)
1. It's easy to get started and learn how to use this
new tool or product.
2. I can find what I need and move around in it
without any trouble.
3. I can make it work the way I want it to, with not
too much effort.
4. Learning to use all its features doesn't take too
much time.
5. The instructions and help provided make it easy to
understand how to use it.
5 4 3 2 1
(Strongly (Agree) (Neither (Disagree) (Strongly
B. PERFORMANCE Agree) Agree or Disagree)
Disagree
)
1. This tool or product does what it's supposed to do
well.
2. It works quickly, without making me wait too long.
3. It fits right into my usual way of doing things
without problems.
4. It keeps working well, even when I use it in
different ways.
5. I hardly ever run into any glitches or problems
when using it.
5 4 3 2 1
(Strongly (Agree) (Neither (Disagree) (Strongly
C. SATISFACTION & ENGAGEMENT Agree) Agree or Disagree)
Disagree
)
1. I'm really happy with how this tool or product
works and what it does for me.
2. It's better than other things I've tried that are
supposed to do the same thing.
3. I'd tell my friends or family they should use it too.
4. It makes my work or daily tasks easier and more
efficient.
5. I'm excited to see what else I can do with it as I
keep using it.
5 4 3 2 1
(Strongly (Agree) (Neither (Disagree) (Strongly
D. RELIABILITY & SUPPORT Agree) Agree or Disagree)
Disagree
)
1. It works reliably every time I need it, without
crashing or freezing.
2. If something goes wrong, it's easy to fix or doesn't
mess things up too much.
3. If I need help, I can easily find instructions or
someone to answer my questions.
4. It gets regular updates to keep it working
smoothly.
5. I can give feedback about my experience, and it
feels like it's used to make improvements.
PART 3. SUGGESTIONS FOR IMPROVEMENT
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
