Thank you for your interest in participating in a user feedback session with Intopia Connect.

To help us find the right participants for this opportunity, please answer the following questions. It should only take 5-10 minutes.

Your responses will be kept private and used only for selecting participants for this study.

All fields are mandatory unless marked (Optional).

If you have any questions or need assistance completing this form, please email recruitment.connect@intopia.digital.

Have you registered as a participant with Intopia Connect? (required)
Can you attend a user feedback session in Melbourne, VIC? (required)
Sessions will be held at The Executive Centre, Level 23, Tower 5, Collins Square, 727 Collins Street, Melbourne, VIC 3008, Australia

Your contact details
First name (required)
Last name (required)
Email (required)
Phone number (required)

Your personal details
I identify my gender as: (required)
Pronouns (optional)
Year of birth (YYYY) (required)
Postcode (required)

Your experience with PinPads
What is your preferred method of paying with a card when making a purchase instore? (required)
How often do you pay for items instore using a debit or credit card with a PinPad? (required)
How would you describe your experience using PinPads to make instore card payments? (required)
How often do you carry wired headphones so you can use audio features on ATMs or PinPads? (required)
Do you use any of the following vision-support tools when using screens or digital devices? (Select all that apply) (required)
Do you work in any of the following? (required)
To help us make your session comfortable, please let us know if you have any access requirements for the visit (Optional)
For example: Wheelchair‑accessible entrance and testing space, space for mobility aids, lighting adjustments.)

Technology usage
What assistive devices or support do you use? (Optional)

Disability
Do you have a disability, impairment or chronic condition? (required)
Please select the disabilities and conditions that best match your experience (required)
Sensory disability (required)
Physical disability (required)
Intellectual impairment or cognitive disability (required)
Neurodivergent (required)
Mental or psychosocial disability (required)
Chronic condition or illness (required)

Before you go…
Would you like to be contacted about paid opportunities to provide feedback on specific websites and apps? (required)
How did you find out about this opportunity? (Optional)