Evaluation of the U.S Marine Corps' Prime for Life 4.5 Program

OMB Control Number 0704-0644

OMB Expiration: 1/31/2026

Participant Feedback Form

for the Prime for Life 4.5 evaluation among Marines in student status awaiting training

Participant Feedback Form Question Count: 17

[GENERAL FEEDBACK FORM INSTRUCTIONS, ITEM LABELS, AND PROGRAMMING NOTES INDICATED IN BLUE. TEXT WILL NOT APPEAR IN FEEDBACK FORM.]

If a respondent is presented with an item and no response is given, then fill the input variable with a value of 98. Every item should include the 98 code.

DISPLAY: 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 evaluate the Prime for Life 4.5 course. Your honest input will help inform improvements to this training for early career Marines.

If you have any questions about this evaluation, please contact the NORC Project Director, Dr. Jennifer Berktold, Principal Research Scientist at NORC at Marine-Wellness-Survey@norc.org.

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

OMB CONTROL NUMBER:  0704-0644

OMB EXPIRATION DATE: 01/31/2026

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.

[Next]

SATISFACTION AND RELEVANCE [3 questions]

1. [SATISFACTION] Overall, how satisfied were you with the Prime for Life 4.5 course?

   • Not at all satisfied (1)

   • A little satisfied (2)

   • Somewhat satisfied (3)

   • Satisfied (4)

   • Very satisfied (5)

2. [SATISFACTION_TEXT] Please explain your answer to the question above.

[Open end text box]

3. [RELEVANCE] How relevant was the Prime for Life 4.5 course to you, as an early career Marine?

   • Not at all relevant (1)

   • Slightly relevant (2)

   • Moderately relevant (3)

   • Very relevant (4)

   • Extremely relevant (5)

UTILITY [1 question]

4. [PERCEIVED_UTILITY] In your opinion, how useful is the Prime for Life 4.5 course to early career Marines?

• Not at all useful (1)

• A little useful (2)

• Somewhat useful (3)

• Useful (4)

• Very useful (5)

PERSONAL RISK PERCEPTION [3 questions]

5. [PERCRISK_GEN] How much risk would you say you have for developing alcoholism in general?

1. No risk (0)

2. Low risk (1)

3. Moderate risk (2)

4. High risk (3)

5. Very high risk (4)
   
   

6. [PERCRISK_BIO] How much risk would you say you have for developing alcoholism due to biology (i.e., biological family member with alcoholism)?

   • No risk (0)

   • Low risk (1)

   • Moderate risk (2)

   • High risk (3)

1. Very high risk (4)
   
   

7. [PERCRISK_CHOICES] How much risk would you say you have for developing alcoholism due to your drinking behaviors?

   • No risk (0)

   • Low risk (1)

   • Moderate risk (2)

   • High risk (3)

   • Very high risk (4)

KNOWLEDGE [5 questions]

Please respond to the following questions based on the information that you learned in the Prime for Life 4.5 course.

[RANDOMIZE KNOWLEDGE1-KNOWLEDGE5]

8. [KNOWLEDGE1] Occasional impairment from drinking is not high risk.

• True (0)

• False (1)

9. [KNOWLEDGE2] Anyone can develop alcoholism.

• True (1)

• False (0)

10. [KNOWLEDGE3] A person can avoid the progression into alcoholism by consistently making low-risk choices.

• True (1)

• False (0)
  
  

11. [KNOWLEDGE4] A standard drink of 12% alcohol-by-volume wine is 3 oz., a standard drink of 5% alcohol beer is 16 oz., and a standard drink of 80-proof alcohol is 2 oz.

0. True (0)

1. False (1)
   
   

12. [KNOWLEDGE5] Having a biological relative (e.g., sibling, parent, grandparent) with addiction increases a person’s own risk for developing addiction.

0. True (1)

• False (0)

ALCOHOL USE [4 questions]

Here are some questions about your alcohol use and related experiences. For these questions, think of one drink as 12 oz of beer, 5 oz of wine, or 1.50 oz of hard liquor (80-proof).

Image Source: Centers for Disease Control and Prevention (CDC)

For this first set of questions, please think about the LAST 90 days.

13. [USE1] In the last 90 days, when I drank, the number of drinks I usually had in a day was: [DROP DOWN LIST WITH RESPONSE OPTIONS: I did not drink, 1, 2, …23, 24 or more]
    
    
    

14. [USE2] In the last 90 days, the most drinks I had in a day was: [DROP DOWN LIST WITH RESPONSE OPTIONS: I did not drink, 1, 2, …23, 24 or more]
    
    
    

For this next set of questions, please think about the NEXT 90 days.

15. [USE3] In the next 90 days, when I drink, the number of drinks I intend to usually have in a day is: [DROP DOWN LIST WITH RESPONSE OPTIONS: I will not drink, 1, 2, …23, 24 or more]
    
    
    

16. [USE4] In the next 90 days, when I drink, the most drinks I intend to have in a day is: [DROP DOWN LIST WITH RESPONSE OPTIONS: I will not drink, 1, 2, …23, 24 or more]

FEEDBACK [1 question]

17. [FEEDBACK_TEXT] If you have any additional thoughts about the Prime for Life 4.5 course as it relates to early career Marines, please use this space to share them here:

[Open end text box]

[CLOSE] Thank you for completing this feedback form. Email Marine-Wellness-Survey@norc.org if you have any questions.

Click ‘Submit’ below to submit your anonymous feedback.

IT INFO: ONLY DISPLAY A “BACK” AND “SUBMIT” BUTTON ON THIS SCREEN.