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User Satisfaction Evaluation Questionnaire

(USEQ)
BINI Phone Application
Name:
Position:

Instructions: Read the following statement and encircle the following evaluation rate.

Ite Not
Very Not
m Questions Much
Somewhat Undecided
Really
at
No. All
Do you enjoy your experience with
1. 5 4 3 2 1
the system?
Are you successful using the
2. 5 4 3 2 1
system?
Is the information provided by the
3. 5 4 3 2 1
system clear?
Do you think that the system will
4. 5 4 3 2 1
be helpful for your rehabilitation?
Do you feel discomfort during your
5. 5 4 3 2 1
experience with the system?
Are the contents of the system
6. 5 4 3 2 1
very reliable?
Are the functions in the system
7. 5 4 3 2 1
well integrated?
Do you find the system
8. consistency in terms of its contents 5 4 3 2 1
and usage?
Did you feel confused or
9. disoriented during your experience 5 4 3 2 1
with the system?
How real is the virtual environment
10. 5 4 3 2 1
of the system?
If you feel uncomfortable during
the task, please indicate the
reasons.

Signature of the RESPONDENT


User Satisfaction Evaluation Questionnaire
(USEQ)
AiTECH Custodial Handbook Brochure
Name:
Position:

Instructions: Read the following statement and encircle the following evaluation rate.

Ite Not
Very Not
m Questions Much
Somewhat Undecided
Really
at
No. All
Do you enjoy your experience with
1. 5 4 3 2 1
the program?
Are you successful using the
2. 5 4 3 2 1
program?
Is the information provided by the
3. 5 4 3 2 1
program clear?
Do you think that the program will
4. 5 4 3 2 1
be helpful for your rehabilitation?
Do you feel discomfort during your
5. 5 4 3 2 1
experience with the program?
Are the contents of the program
6. 5 4 3 2 1
very reliable?
Are the functions in the program
7. 5 4 3 2 1
well integrated?
Do you find the program
8. consistency in terms of its contents 5 4 3 2 1
and usage?
Did you feel confused or
9. disoriented during your experience 5 4 3 2 1
with the program?
How real is the virtual environment
10. 5 4 3 2 1
of the program?
If you feel uncomfortable during
the task, please indicate the
reasons.

Signature of the RESPONDENT

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