Hi Linda_charlton ! While pick group rank questions are inaccessible by nature, there are ways to mimic the process of picking, grouping, and ranking through accessible questions! For example, you could use a multi-select multiple choice question that asks users to select multiple, related items that they would like to group. Then, carry forward selected answers to allow users to rank these items in a rank order question. You could also carry forward unselected answers from the multi-select multiple choice to allow the users to repeat the process, picking the items from the remaining list to group and then rank! If you need assistance setting this up, you'll want to reach out to the Support team!