Form Update

Demographic

Step 1

* Required fields

First Name*

Last Name*

Street Address

City

Country

State

Zip

Email*

Gender*

Male
Female

In which hand do you use your computer mouse?

Right
Left

Step 2

* Required fields

Date of Birth*

Day Phone*123-123-1234

- -

Evening Phone*123-123-1234

- -

International Phone

Name of your organization or employer?

Current job title or position*

Check this box if the question above does not apply.

Approximate number of employees in the entire company

How did you hear about Microsoft User Research?*

If English is not your first language, please select your native language.

Indicate the highest education level completed:

Grammar School
High School
Associate Degree
Bachelor Degree
Graduate Degree
Doctoral Degree

Indicate the area of education studied:

Technology and Engineering
Natural and Life Sciences
Business and Economics
Fine and Performing Arts
Humanities and Social Sciences

Step 3

Check any of the following computers you have in your home

Desktop Computer (PC)
Desktop Computer (Mac)
Laptop Computer (PC)
Laptop Computer (Mac)
Tablet Computer
Netbook, Subnotebook, UltraMobile PC (small screen, under 3 pounds)

What computer/operating systems do you use?

Windows Vista
Windows XP
Windows 2000
Windows Home Server
Mac OS
Linux
Other

Do you run Windows on Mac hardware?

What Internet browser(s) do you use?

Firefox
Internet Explorer
Google Chrome
Opera
Safari
Other

Please check any of the following free E-mail services you use:

America Online (AOL)
Gmail
Hotmail
Yahoo
Other

Please check any of the following E-mail programs you use:

Entourage
Eudora
Lotus Notes
Outlook
Outlook Express
Windows Live Mail
Other

Step 4

Do you connect to the Internet at wireless 'Hot Spots' (coffee shops, airports, etc.)

From the list below, select the mobile device(s) you currently own or use.

Palm Phone	Model Number
Blackberry Phone	Model Number
Windows Mobile Smartphone	Cell Phone Brand Model Number
Apple iPhone	Model Number
Google Android	Model Number
Other (not listed)	Cell Phone Brand Model Number

Step 5

As part of our work in the Accessibility field, please indicate any disabilities you may have below:

Visually impaired
Color blind
Deaf or partial hearing loss
Speech disability
Mobility impairment
Cognitive disability
Other

If other, please list