English Self-Reported Usability Testing Questionnaire
Please fill in the following personal information:
Full name:
National ID or passport:
Signature:
Date:
Please answer the following questions based on your experience using the device today. Write your answers in the space provided. The evaluator will review your responses and assess your understanding.
What information is produced by the device report?
Your Answer:
For Evaluator Use
- OK (Success)
- UD (Use difficulty)
- CC (Close call)
- UE (Use error)
Observations:
What is the probability of malignancy for the lesion you analyzed today?
Your Answer:
For Evaluator Use
- OK (Success)
- UD (Use difficulty)
- CC (Close call)
- UE (Use error)
Observations:
What are the conditions that the device have detected?
Your Answer:
For Evaluator Use
- OK (Success)
- UD (Use difficulty)
- CC (Close call)
- UE (Use error)
Observations:
Can this report output of the device act as a diagnosis?
Your Answer:
For Evaluator Use
- OK (Success)
- UD (Use difficulty)
- CC (Close call)
- UE (Use error)
Observations: