Why isn't the Submit button submitting responses?

I created an evaluation form using Forms Central and distributed it. 4/5 respondents filled it out with no problems. The last person filled it out twice and lost her responses once through an error on her end and the second time she doesn't know why her answers weren't submitted properly. Any ideas why this might not have worked?

Do you have Siri enabled and Siri in restrictions set to ON

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