| Date: _______________ | Time: _______________ | Test No.: __________ | User No.: __________ | 
Thank you for participating in our test. Please answer the following questions:
| Sex: | [ ] male [ ] female | 
| Age: | ____________ | 
| Occupation: | ____________ | 
1. Do you use a sight aid when working on the computer?
[ ] none [ ] glasses [ ] contact lenses [ ] other __________
2. Do you have any form of colour blindness?
[ ] no [ ] yes, __________
1. Educational Level Attained:
[ ] vocational training [ ] secondary school [ ] university degree [ ] doctorate
2. If you are studying or have studied, please describe your main area of study:
___________________________________
1. How long have you been using a personal computer?
_____ years
2. How many hours per week do you use a computer?
_____ hours
3. Which kind of computer do you normally use?
[ ] Microsoft Windows [ ] Apple Macintosh [ ] Unix [ ] Other __________
1. How many hours per week do you use the World Wide Web?
________ hours
2. From where do you normally surf the web?
[ ] work [ ] home [ ] both
3. What kind of internet connection do you normally use?
  [  ] analogue modem
    [  ] ISDN modem
    [  ] cable modem (Chello)
  [  ] xDSL
    [  ] other __________
4. Which web browser do you normally use?
[ ] Microsoft Internet Explorer [ ] Netscape Navigator [ ] other __________
5. Do you have experience as a webmaster?
If yes: _____ years and _____ months
Questions to do with the specific topic of this test.
1. Have you participated in a usability study before?
  [  ] as a test user
    [  ] as part of the test team
  If yes, what kind of study was it?   __________