Date: _______________ Time: _______________   Test No.: __________ User No.: __________

Background Questionnaire

Thank you for participating in our test. Please answer the following questions:

1. General Information

Sex: [  ] male    [  ] female
Age: ____________
Occupation: ____________

2. Sight Impairment

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, __________

3. Education

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:

   ___________________________________

4. Use of Computers

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 __________

5. Experience with the Internet and the Web

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

6. Domain-Specific Questions

Questions to do with the specific topic of this test.

7. Experience with Usability Tests

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?   __________