Name : _____ Date of the interview : _____ Members of the team present : _____ Interview duration : _____

User's feedbacks about the prototype :

Positive

• Positive feedback n° 1 ...................
• Positive feedback n° 2 ...................

Neutral

• Neutral feedback n° 1 ...................
• Neutral feedback n° 2 ...................

Negative

• Negative feedback n° 1 ...................
• Negative feedback n°2 ...................

Suggested improvements :

Features that needs to be improved / removed / added

Remarks about the interview :

**