Technology, SaaS & Dev · community shared

Accessibility Feedback Form — shared by the community

Sam B. shared this 13-question build with 4 conditional rules already wired up. Test it below, then take a copy.

A ready-to-use technology, saas & dev form for engineering, IT and product teams: 13 questions, 3 pages, 4 conditional rules.

Shared by
Sam B. · Customer success
Questions
13
Replies
8
Copies taken
565
See the library version

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Live preview and test console

This is the real form. Answer it to test the 2 conditional rules — nothing is sent or stored.

Page 1 of 3The barrier

Report an accessibility barrier

Every question on this page is currently visible.

Works for you? Take Sam B.'s copy into your own workspace — questions, rules and settings included.

Who this template is for

Accessibility Feedback Form is built for engineering, IT and product teams who need to route technical requests with the context needed to triage them.

  • Engineering, IT and product teams working in technology, saas & dev.
  • Teams who need to route technical requests with the context needed to triage them without writing code or paying for a custom build.
  • Anyone replacing vague reports that can't be reproduced or prioritised with one structured record per enquiry.
  • Respondents are users, testers and internal stakeholders — the form asks them 13 questions across 3 screens.
  • Mobile-heavy audiences, thanks to the one-question-per-screen card layout.

Why this form is useful

It removes the cost of vague reports that can't be reproduced or prioritised and turns each submission into a record your team can act on immediately.

  • 7 questions are required, so submissions arrive complete instead of needing a follow-up email.
  • It collects a verified email address so replies and confirmations land.
  • It captures a phone number for urgent follow-up.
  • It accepts a document or photo upload as evidence.
  • It scores satisfaction on a consistent scale.
  • Conditional logic hides 4 questions until they are relevant — shorter forms convert better than long ones.
  • Splitting the form across 3 pages keeps each screen short and shows respondents how much is left.
  • Every response is stored, searchable and exportable, so nothing depends on one person's inbox.

How to use this template

From copy to live form is a few minutes of work, and every step is reversible.

  1. 1Press “Use this template” — a fresh copy of Accessibility Feedback Form lands in your workspace, ready to edit.
  2. 2Rename or delete any question, and change what is required. Nothing here is fixed.
  3. 3Open Notifications and add the email addresses that should be alerted on each submission; add an auto-reply to the respondent if the form collects an email address.
  4. 4Check the upload limits on the file question so respondents can attach what you actually need.
  5. 5Publish it, then either share the link directly or paste the embed snippet into your site — the embedded form resizes to fit and loads no marketing or advertising trackers.
  6. 6Watch responses land in Submissions, where you can filter, label and export them to CSV or PDF.

Logic and conditions blueprint

Exactly how this form behaves as it is answered — 4 conditional rules ship with it.

  • Features conditional validation: if “How would you like to be updated?” is By email, “Email address” becomes mandatory before the form can be sent.
  • Features conditional validation: if “How would you like to be updated?” is By phone, “Phone number” becomes mandatory before the form can be sent.
  • Features advanced show logic: if “Severity” is Completely blocks me from completing the task, the form dynamically exposes “What workaround, if any, did you use?”. Otherwise that question never appears.
  • Features advanced show logic: if “Assistive technology used” is Screen reader, the form dynamically exposes “Which screen reader and browser combination?”. Otherwise that question never appears.
  • All 4 rules are editable in the Logic tab, and the built-in checker warns about rules that contradict each other.

What this form asks

Page 1 — The barrier

  • Page or feature URLrequired
  • What were you trying to do?required
  • Barrier typerequired
  • Describe what happenedrequired

Page 2 — Assistive technology and severity

  • Assistive technology used
  • Which screen reader and browser combination?
  • Severity
  • Severityrequired
  • What workaround, if any, did you use?

Page 3 — Follow-up

  • How would you like to be updated?required
  • Email addressrequired
  • Phone number
  • Attach a screenshot or recording (optional)

Conditional logic in this build

  • WhenHow would you like to be updated?is By email, requireEmail address”.
  • WhenHow would you like to be updated?is By phone, requirePhone number”.
  • WhenSeverityis Completely blocks me from completing the task, showWhat workaround, if any, did you use?”.
  • WhenAssistive technology usedis Screen reader, showWhich screen reader and browser combination?”.

Questions about this shared form

How is this different from the Software Bug Report Form?

A general bug report doesn't ask about assistive technology or barrier type. This form is built specifically to capture the detail an accessibility fix actually needs.

Do we need legal review before publishing this form?

This template only structures reporting; it makes no compliance claims, so review it against your own accessibility policy before publishing.

Should this be linked from every page?

Many teams link it from a persistent footer or accessibility statement page so it's discoverable without cluttering the main navigation.

What if the reporter doesn't know the technical terms?

The barrier-type and assistive-technology dropdowns include plain-language options, and the free-text 'what happened' field catches anything that doesn't fit neatly.

Is the Accessibility Feedback Form template free to use?

Yes. You can preview and test Accessibility Feedback Form on this page without an account, and take a copy into your own HelloForms workspace on the free plan. There is nothing to install and no card required to publish it.

What does the Accessibility Feedback Form template ask for?

It asks 13 questions across 3 pages, 7 of which are required. Every question is listed in full further down this page, and each one can be renamed, reordered, made optional or deleted after you copy the template.

Can I edit the Accessibility Feedback Form form after copying it?

Yes — the copy is entirely yours. Change wording, add or remove questions, switch between the classic and card layouts, restyle it to match your brand, and set who gets notified on each submission.

How does the conditional logic in this technology, saas & dev form work?

4 conditional rules ship with the template: Features conditional validation: if “How would you like to be updated?” is By email, “Email address” becomes mandatory before the form can be sent. Features conditional validation: if “How would you like to be updated?” is By phone, “Phone number” becomes mandatory before the form can be sent. Features advanced show logic: if “Severity” is Completely blocks me from completing the task, the form dynamically exposes “What workaround, if any, did you use?”. Otherwise that question never appears. All rules are editable in the Logic tab.

Where do responses to the Accessibility Feedback Form form go?

Submissions land in your workspace under Submissions, where you can search, filter, label and export them to CSV or PDF. You can also email a notification to your team on every submission and send the respondent an auto-reply.

Can I embed the Accessibility Feedback Form form on my own website?

Yes. Publish the form and paste the embed snippet into any page or share the direct link. The embedded form resizes to fit its container and loads no advertising or marketing trackers inside the iframe.

Can respondents upload files?

Yes. This template includes a file upload question, so respondents can attach documents or photos with their answers. You can adjust the accepted file types and size limits on that question.