UtilityTrac Beta Test Form

1

Your Full Name* This field is required.

First Name

Last Name

2

How do you currently keep track of your bills?* This field is required.You may select more than one

Email inbox

Calendar reminders

Spreadsheet

Notes app

Banking app

I don’t really track them

Other

3

Where do most of your bills currently arrive?* This field is required.You may select more than one

Email

SMS

Physical mail

Provider apps or portals

A mix of different places

I’m not really sure

4

What is your biggest frustration with managing bills?* This field is required.You may select more than one

Forgetting due dates

Bills scattered everywhere

Not knowing what’s paid

Late fees

Too many reminders

Sharing bills with family

Other

5

How often do you check if bills have been paid?* This field is required.Single choice answer

Every day

Every few days

Weekly

When I remember

Only when a reminder arrives

Usually after the due date

I don’t really check

Other

6

How many regular bills do you usually manage each month?* This field is required.Single choice answer

1–5

6–10

11–20

20+

7

Have you ever missed a bill or paid late because you forgot?* This field is required.Single choice answer

Yes, recently

Yes, but not often

Maybe, I’m not sure

No, I’m usually on top of it

8

Are you happy to provide honest feedback during the beta?* This field is required.Single choice answer

Yes

No

9

If you selected "YES", how would you prefer to give your feedback?You may select more than one

Quick in-app feedback

Email

Short survey

10-minute call

I’d rather only report issues if I find them

Other