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Rapid Response Investigation
Home
Rapid Response Investigation
Rapid Response: Investigation
Step
1
of
2
50%
Hidden
Today's Date
(Required)
MM slash DD slash YYYY
Hidden
Time
Hours
:
Minutes
AM
PM
AM/PM
Contact Info
First Name
(Required)
Last Name
(Required)
Company
(Required)
Job Title
(Required)
Email
(Required)
User Scope
Target User
(Required)
Who would you like to ask your question to? (ex. “plumbers” or “all tradesmen”)
First Question
Select Question 1 Type:
(Required)
Multiple Choice (Radio Button)
Multiple Choice (Check Boxes)
Free Response
Question 1:
(Required)
Please type in your question how you would like it displayed to the end-users.
Question 1 Answer Choices:
(Required)
Please enter each choice on a separate line.
Will you use images for question 1?
(Required)
Yes
No
Question 1 Images
Upload Images for question 1:
(Required)
Drop files here or
Select files
Max. file size: 50 MB.
Please give instructions for how to use question 1 images:
Second Question
Select Question 2 Type:
(Required)
Multiple Choice (Radio Button)
Multiple Choice (Check Boxes)
Free Response
Question 2:
(Required)
Please type in your question how you would like it displayed to the end-users.
Question 2 Answer Choices:
(Required)
Please enter each choice on a separate line.
Will you use images for question 2?
(Required)
Yes
No
Question 2 Images
Upload Images for question 2:
(Required)
Drop files here or
Select files
Max. file size: 50 MB.
Please give instructions for how to use question 2 images:
Third Question
Select Question 3 Type:
(Required)
Multiple Choice (Radio Button)
Multiple Choice (Check Boxes)
Free Response
Question 3:
(Required)
Please type in your question how you would like it displayed to the end-users.
Question 3 Answer Choices:
(Required)
Please enter each choice on a separate line.
Will you use images for question 3?
(Required)
Yes
No
Question 3 Images
Upload Images for question 3:
(Required)
Drop files here or
Select files
Max. file size: 50 MB.
Please give instructions for how to use question 3 images:
Additional Questions
Do you wish to include a fourth question?
(Required)
Yes
No
Fourth Question
Select Question 4 Type:
(Required)
Multiple Choice (Radio Button)
Multiple Choice (Check Boxes)
Free Response
Question 4:
(Required)
Please type in your question how you would like it displayed to the end-users.
Question 4 Answer Choices:
(Required)
Please enter each choice on a separate line.
Will you use images for question 4?
(Required)
Yes
No
Question 4 Images
Upload Images for question 4:
(Required)
Drop files here or
Select files
Max. file size: 50 MB.
Please give instructions for how to use question 4 images:
