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Accessibility Feedback Form - Free Feedback Template | ZenBuild | ZenBuild

Templates→Feedback→Accessibility Feedback Form

Accessibility Feedback Form

Gather feedback on the accessibility of your website, app, or physical location. Helps identify barriers for users with disabilities so you can improve inclusivity and ADA/WCAG compliance.

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feedbackaccessibilityinclusivitycompliance

Accessibility Feedback Form — Form Fields

This feedback template includes 5 fields. Gather feedback on the accessibility of your website, app, or physical location. Helps identify barriers for users with disabilities so you can improve inclusivity and ADA/WCAG compliance. Free to customize and use on ZenBuild.

What type of accessibility concern are you reporting? (dropdown selection, required) — options: Visual / screen reader, Hearing / captions, Motor / keyboard navigation, Cognitive / reading difficulty, Physical / in-person location, Other
Where did you encounter the issue? (text, required)
Describe the accessibility issue (long text, required)
Were you able to complete your task? (multiple choice, optional) — options: Yes, With difficulty, No
Email (optional, for follow-up) (email, optional)