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The application that was built to use by the user with a wide age range and different educational background need interface designing cautiously. User acceptance value for the application interface must be measured using the right measurement tool. This research explained measurement tool which is a qualitative survey of usability and user experience that considers several aspects. Those aspects cover several combinations from methods and questionnaire technique, that is : Combination of methods, that covers Nielsen Attributes Of Usability and Nielsen Heuristic Evaluation also Combination of a questionnaire technique, that covers UIS Questionnaire, USE Questionnaire and Purdue Usability Testing Questionnaire. This paper shows combination from methods and questionnaire technique properly so that produce a complete user acceptance measurement tool for web-based application interface, however with a minimal question.