Usability Study Participant Questionnaire

11% of survey complete.

Are you tired of confusing, hard-to-use state websites? Here is your chance to help improve state of Michigan websites and applications simply by completing a survey. This survey should take only about three minutes to complete. *You must be 18 or older to participate.

Once you complete and submit the survey, you will be added to a list of people who are willing to help improve state web sites and applications. You may be contacted again in the future (via phone or email) to provide more input or participate in a study. You will have the option to participate or decline each time you are contacted.

Thank you for your help – we appreciate your time and input!

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* 1. First and Last Name (For example: Jane Smith)

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* 2. Contact Phone Number (999-999-9999)

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* 3. Contact Email Address

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* 4. Are you available during the day to participate in a study, if chosen?

Yes

No

Other

Other (please specify)

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* 5. What city do you currently live in?

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* 6. Are you currently enrolled as a student?

Yes, in graduate school

Yes, at a four year undergraduate college/university

Yes, at a two year undergraduate college/university

Yes, at a high school or equivalent

No, I am not currently enrolled as a student

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* 7. Do you currently work?

Yes

No

Retired