Accessibility Audit Survey

Accessibility Audit Survey — Form Fields

This surveys template includes 9 fields. Evaluate accessibility of physical spaces, digital products, or services to identify barriers for people with disabilities. Free to customize and use on ZenBuild.

• What is the name of the location or product being audited? (text, required)
• What type of accessibility audit is this? (dropdown selection, required) — options: Physical space / building, Website / web application, Mobile application, Document / PDF, Event / program
• How would you rate the overall accessibility of this space or product? (rating, required)
• Which accessibility barriers did you encounter? (checkboxes, optional) — options: Physical entry or navigation barriers, Lack of ramps or elevators, Poor color contrast or visual design, Missing alt text or screen reader support, No captions or audio descriptions, Keyboard navigation issues, No accessible parking or restrooms
• Do you personally identify as having a disability? (multiple choice, optional) — options: Yes, No, Prefer not to say, Auditing on behalf of someone else
• Please describe the specific accessibility issues you observed. (long text, optional)
• Were staff or support personnel helpful in accommodating accessibility needs? (multiple choice, optional) — options: Yes, very helpful, Somewhat helpful, Not helpful, No staff interaction
• What specific improvements would make this space or product more accessible? (long text, optional)
• Your email address (optional, for follow-up) (email, optional)