# Accessible service information survey

Assess alternative administrative information formats.

If nothing was unclear or difficult, say so. Skip questions about steps you did not experience; use not applicable where appropriate.

## 1. Which format did you use?

Answer: ____________________

## 2. What instruction remained unclear?

Answer: ____________________

## 3. What other format would help?

Answer: ____________________

## Author notes / illustrative keys where applicable

1. Look for format use.
2. Look for instruction clarity.
3. Look for format need.

Interpretation caution: Do not ask respondents to disclose disabilities.


## Illustrative finding and follow-up

Observation: Large-print versions omit contact instructions.

Action to test: Include essential contacts across formats.

Follow-up: After the proposed change, ask relevant participants whether this original issue still occurs: Large-print versions omit contact instructions. Record what they experienced, including none or not applicable; changes in the sample do not establish causation.