Prime for Life 4.5 Participant Feedback Form

OMB Control Number: 0704-0644
Expiration Date: 01/31/2026
USMC Survey Control Number: USMC-25-070 (ID#1021)
Expiration Date: 09/02/2028
All Form Responses are Anonymous

Thank you for providing brief, anonymous feedback about your experience with Prime for Life 4.5. Your feedback is voluntary and should take less than 5 minutes to complete. The Department of Defense has contracted with NORC at the University of Chicago, an objective, nonpartisan research organization, to support the evaluation of the Prime for Life 4.5 course. Your honest input will help inform improvements to this course for early career Marines.

Please complete the form in one session. If you close the form or remain idle for over 10 minutes, you must start over.

You can go forward or backward in the form by clicking on the Next or Back buttons on the bottom of the page. (DO NOT use your browser's Back or Forward buttons.)

If you have any questions about this form or the Prime for Life 4.5 evaluation, please contact Marine-Wellness-Survey@norc.org.

By clicking ‘Start’ you indicate your agreement to provide anonymous feedback.

Agency Disclosure Notice

The public reporting burden for this collection of information, 0704-0644, is estimated to average 3 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or burden reduction suggestions to the Department of Defense, Washington Headquarters Services, at whs.mc-alex.esd.mbx.dd-dod-information-collections@mail.mil. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.