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User research screener template

Check whether someone fits a study.

See the structure

A look at how these questions lay out in the builder, and how the same questions appear to the person answering.

Builder · user research screener

Section 1

  • 1Role Short text
  • 2Experience with the topic Short text

Section 2

  • 3Availability Short text
  • 4Contact email Email

Illustrative structure. The real builder lets you rename, reorder and retype every question.

Respondent preview

User research screener

A one-question-at-a-time layout keeps this easy on a phone.

Role

Your answer

Experience with the topic

Your answer

Availability

Your answer

Contact email

name@example.com

Scroll to preview all 4 questions. Questions are illustrative.

How to customize it

  • Remove any question you will not act on.
  • Reword questions in the language your audience uses.
  • Tell people what happens after they submit.
  • Test the form on your phone before sharing.

FAQ

What is a user research screener?

Check whether someone fits a study.

Can I change the questions?

Yes. Treat the questions below as a starting point and edit them to fit your situation.

Should every question be required?

Only require what you truly need to reply. Optional questions tend to get more completed forms.

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