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JARPA Survey
50%
*
1
. Date
MM
DD
YYYY
MM/DD/YYYY
Date MM/DD/YYYY Month
/
Day
/
Year
Share your experience using JARPA. Your responses will help us to improve JARPA in the future.
2
. Was this your first time completing the JARPA?
Was this your first time completing the JARPA?
Yes
No
3
. If no, how many JARPAs do you normally complete in a year?
If no, how many JARPAs do you normally complete in a year?
1 or less a year
2-5 a year
6-20 a year
20+ a year
4
. Where did you get your JARPA form from?
Where did you get your JARPA form from?
5
. Did you have difficulty finding or getting the form?
Did you have difficulty finding or getting the form?
Yes
No
6
. Did you find the application easy to use? (1 is easy, 5 is difficult)
1
2
3
4
5
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Did you find the application easy to use? (1 is easy, 5 is difficult) 1
2
3
4
5
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