Their reactions were captured through the use of cognitive laboratory sessions that incorporated interviews that required test takers to think aloud, as well as researcher observations as test takers worked quietly. Results of the analysis of this data revealed that some participants needed time to figure out what was being asked of them when they encountered the new item types, although most were able to answer each item eventually.On the other hand, most participants stated that they did not even notice the test environment tools, and few were observed actually using the tools. Several participants provided suggestions about improving the usability of the new item types and test environment tools.