Demographics
Region

Region of Respondents
| Response | # of Respondents | % of Respondents |
| North America | 1246 | 73.1% |
| Europe/UK | 262 | 15.4% |
| Asia | 82 | 4.8% |
| Australia and Oceania | 58 | 3.4% |
| Africa/Middle East | 29 | 1.7% |
| South America | 16 | 0.9% |
| Central America and Caribbean | 12 | 0.7% |
Disability Reported

Do you use a screen reader due to a disability?
| Response | # of Respondents | % of Respondents |
| Yes | 1610 | 93% |
| No | 126 | 7% |
Screen Reader Proficiency

Please rate your screen reader proficiency
| Response | # of Respondents | % of Respondents |
| Advanced | 1014 | 58% |
| Intermediate | 651 | 37% |
| Beginner | 83 | 5% |
Screen reader proficiency of respondents has increased in each successive survey. Those who use screen readers due to a disability report themselves as being much more proficient with screen readers. Only 3% of those with disabilities considered their proficiency to be "Beginner" compared to 33% of those without disabilities.
Internet Proficiency

Please rate your proficiency using the Internet
| Response | # of Respondents | % of Respondents |
| Advanced | 1125 | 64.2% |
| Intermediate | 588 | 33.6% |
| Beginner | 38 | 2.2% |
Internet proficiency has generally remained the same across all surveys.
Devices Used

On which of the following devices do you use a screen reader?
| Device | # of Respondents | % of Respondents |
| Desktop computer | 1402 | 80.8% |
| Laptop | 1344 | 77.4% |
| Mobile device | 1056 | 60.8% |
When considering respondents who indicated that they use multiple devices, 1058 respondents (59%) use both a desktop computer and a laptop. 739 respondents (41%) use a screen reader on all three devices. Only 10 respondents reported using a screen reader exclusively on a mobile device.
Operating System

Operating System
| Response | # of Respondents | % of Respondents |
| Windows | 1547 | 87% |
| Apple | 151 | 8.5% |
| iOS | 59 | 3.4% |
| Linux | 13 | 0.7% |
| Android | 5 | 0.3% |
| Nokia | 3 | 0.2% |
Operating system data above was detected from the system used to complete the survey. Of the iOS devices, 46 were using iPhones, 12 were using iPads, and 1 was using an iPod.
Primary Screen Reader

Which of the following is your primary desktop/laptop screen reader?
| Screen Reader | # of Respondents | % of Respondents |
| JAWS | 853 | 49.1% |
| Window-Eyes | 214 | 12.3% |
| VoiceOver | 159 | 9.2% |
| NVDA | 238 | 13.7% |
| System Access or System Access To Go | 181 | 10.4% |
| ZoomText | 49 | 2.8% |
| ChromeVox | 4 | 0.2% |
| Other | 38 | 2.2% |
While JAWS is still the most popular screen reader, it has seen a significant decline in primary usage - down to 49% from 66.4% in October 2009 and 59.2% in December 2010. Window-Eyes and ZoomText saw small increases in primary screen reader usage while VoiceOver saw a small decrease in usage. NVDA saw continued increase in usage, up to 13.7% from 2.9% in 2009 and 8.6% in 2010 (a nearly 500% increase in just 2.5 years). Perhaps most surprising is the significant increase in usage of System Access or System Access to Go, jumping to 10.4% from only 4.7% in December 2010.
It is clear that screen reader users are abandoning more expensive primary screen readers for free and low-cost alternatives.
There was no marked difference in primary screen reader use between respondents with and without disabilities, with JAWS being slightly more popular and NVDA being slightly less popular among users with disabilities. Those with a screen reader proficiency of "Beginner" were less likely to use JAWS and nearly twice as likely to use NVDA than those with "Advanced" screen reader proficiency.
Regional differences are also of note. JAWS was much more popular in Asia (68% of respondents), Australia (58%), and North America (50%) than in Europe/UK (37%). NVDA was nearly 4 times more popular in Europe/UK than in North America.
Screen Readers Commonly Used

Which of the following desktop/laptop screen readers do you commonly use?
| Screen Reader | # of Respondents | % of Respondents |
| JAWS | 1106 | 63.7% |
| Window-Eyes | 360 | 20.7% |
| VoiceOver | 547 | 30.7% |
| NVDA | 747 | 43.0% |
| System Access or System Access To Go | 384 | 22.1% |
| ZoomText | 118 | 6.8% |
| ChromeVox | 48 | 2.8% |
| Other | 103 | 5.9% |
JAWS usage on desktop/laptop continues to decrease while both NVDA and VoiceOver increase. Window-Eyes and System Access usage is generally unchanged.
The following chart shows changes in screen reader usage over time.
58% of respondents use more than one desktop/laptop screen reader. 26% use three or more, and 9% use four or more different screen readers. The percentages of respondents using multiple screen readers is notably increasing over time.
Screen Reader Updates

Has your primary screen reader been updated in the last year?
| Response | # of Respondents | % of Respondents |
| Yes | 1428 | 82.7% |
| No | 299 | 17.3% |
The vast majority of respondents updated their primary screen reader within the previous year. The percentage of users updating in the previous year has increased slowly over the course of these surveys. It's important to note that many users may still be using screen readers that are several years old.
Users of NVDA (95.3% updated in the previous year) and Window-Eyes (92.6%) were more likely to have updated their screen reader in the previous year, whereas users of JAWS (80%), VoiceOver (78.3%), and especially ZoomText (51%) were less likely to have updated.
Reasons for Use

What is the main reason for using your primary screen reader?
| Response | # of Respondents | % of Respondents |
| Existing Comfort/Expertise | 674 | 39.2% |
| Features | 502 | 29.2% |
| Cost | 227 | 13.2% |
| Availability | 177 | 10.3% |
| Support | 141 | 8.2% |
When compared to October 2009, cost has notably increased as a main reason for using their primary screen reader. This may help explain the shift to less expensive screen readers. Only 1.7% of JAWS users cited Cost as the main reason for using it, compared to 48.3% of NVDA users and 30.3% of System Access users. Availability was cited as the primary reason by VoiceOver users. Existing Comfort/Expertise was cited as the primary reason by JAWS, Window-Eyes, and ZoomText users.
Braille Output

Do you use braille output with your screen reader?
| Response | # of Respondents | % of Respondents |
| Yes | 478 | 27.7% |
| No | 1245 | 72.3% |
The use of braille output has decreased only slightly since October 2009. As one would expect, the use of braille output is higher among respondents with a disability.
Visual Features
Which of the following visual features, if any, do you use?
| Feature | # of Respondents | % of Respondents |
| Screen enlarger | 210 | 11.8% |
| Increased browser text sizes | 148 | 8.3% |
| Browser zoom | 129 | 7.2% |
| High contrast mode or style sheets | 152 | 8.5% |
307 respondents (17%) reported using at least one visual feature and most of these use a combination of multiple visual features.
Browsers

When using your primary screen reader, which browser do you use most often?
| Browser | # of Respondents | % of Respondents |
| Internet Explorer 8 | 530 | 30.4% |
| Internet Explorer 9+ | 497 | 28.5% |
| Firefox | 349 | 20.0% |
| Safari | 148 | 8.5% |
| Internet Explorer 7 | 88 | 5.1% |
| Internet Explorer 6 | 61 | 3.5% |
| Chrome | 42 | 2.4% |
| Others | 25 | 1.4% |
Respondent browser usage is largely unchanged over the last several years. Internet Explorer accounts for 67.5% of the browser share among respondents. This is significantly higher than that of the general population. Usage of Chrome is significantly below that of the general population, presumably due to lack of screen reader support in Chrome. Those without disabilities were much more likely than those with disabilities to use Firefox (31% compared to 19%) and Chrome (10% compared to 2%), and were less likely to use Internet Explorer (51.3% or respondents without disabilities compared to 68.6% of respondents with disabilities).
JavaScript Enabled

Respondents with JavaScript enabled
| JavaScript Enabled | % of Respondents |
| Yes | 98.6% |
| No | 1.4% |
Prevalence of JavaScript support was up only slightly from December 2010 (98.4%). 70% of those with JavaScript disabled were using Firefox (presumably with the NoScript add-on enabled) and 17% were using Lynx on Linux.
Screen Reader Customization

How customized are your screen reader settings? (e.g., changed verbosity, installed scripts, etc.)
| Response | # of Respondents | % of Respondents |
| Very customized | 462 | 26.5% |
| Somewhat customized | 773 | 44.3% |
| Slightly customized | 389 | 22.3% |
| Not customized | 119 | 6.8% |
The amount of customization is almost identical to what was reported in January 2009. Those with disabilities were more than twice as likely to customize their screen readers than those without disabilities.
Free/Low-cost Screen Readers

Do you see free or low-cost screen readers (such as NVDA or VoiceOver) as currently being viable alternatives to commercial screen readers?
| Response | # of Respondents | % of Respondents |
| Yes | 1128 | 66.5% |
| No | 264 | 15.6% |
| I Don't Know | 304 | 17.9% |
47.8% answered "Yes" to this question in October 2009 and 60.4% in December 2010. The positive perception of free or low-cost screen readers is increasing.
Only 58% of JAWS users and 50% of Window-Eyes users answered "Yes" compared to an overwhelming 95% of NVDA users and 98% of VoiceOver users. Those that actually use free or low-cost screen readers have a much better perception of them than those who do not use them.
Mobile Screen Readers
Mobile Screen Reader Usage

Do you use a screen reader on a mobile phone or mobile handheld device?
| Response | # of Respondents | % of Respondents |
| Yes | 1227 | 71.8% |
| No | 483 | 28.2% |
This represents a 600% increase in mobile screen reader usage in just over 3 years (only 12% reported using a mobile screen reader in January 2009), though a less significant increase over the 66.7% that reported using a mobile screen reader in December 2010. Those with advanced screen reader proficiency were much more likely to use a screen reader on a mobile device than those with low screen reader proficiency (81% to 49%). Respondents in North America were less likely to use a mobile screen reader than respondents from every other region represented (68% in North America compared to 82% in Europe/UK and 88% in Australia/Oceania, for example).
Mobile Screen Readers Used

Which of the following mobile screen readers do you commonly use? (Choose all that apply)
| Mobile Platform | # of Respondents | % of Respondents |
| VoiceOver | 868 | 48.7% |
| Nuance Talks | 319 | 17.9% |
| Mobile Speak | 152 | 8.5% |
| TalkBack for Android | 97 | 5.4% |
| Mobile Accessibility for Android | 67 | 3.8% |
| IDEAL | 19 | 1.1% |
| Orator/Oratio for BlackBerry | 21 | .7% |
| Other | 91 | 5.1% |
As with primary mobile screen readers, VoiceOver usage increased sharply since December 2010 (27.1% to 48.7%) while nearly every other mobile screen reader decreased in usage.
Problematic Items
The survey asked respondents to select their most, second most, and third most problematic items from a list. In giving each selected item a weighting, the following chart shows the overall rating of difficulty and frustration for each item.

Problematic items identified are (in order, with most difficult/frustrating first):
- The presence of inaccessible Flash content
- CAPTCHA - images presenting text used to verify that you are a human user
- Links or buttons that do not make sense
- Images with missing or improper descriptions (alt text)
- Screens or parts of screens that change unexpectedly
- Complex or difficult forms
- Lack of keyboard accessibility
- Missing or improper headings
- Too many links or navigation items
- Complex data tables
- Inaccessible or missing search functionality
- Lack of "skip to main content" or "skip navigation" links
21.9% of respondents listed inaccessible Flash content as the most difficult or frustrating item encountered, with CAPTCHA (21.6%) closely behind. When compared to responses to these questions over 2.5 years ago, the order and indicated difficulty for the items in this list are largely unchanged.
Social Media Accessibility
Respondents report that social media sites are only slightly less accessible than was reported in December 2010.