medtronicsolutions.medtronic.com
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192.29.8.143
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Submitted URL: https://s298548211.t.en25.com/e/er?s=298548211&lid=28410&elqTrackId=DC8E375709707AF8DAD9D213FC3B56E3&elq=108113f0d32545bda2287...
Effective URL: http://medtronicsolutions.medtronic.com/Preferences?cid=EML:ELQ:EM2b_adjust-email-preferences_button:system-reengagement-nurture
Submission: On September 06 via manual from US — Scanned from CA
Effective URL: http://medtronicsolutions.medtronic.com/Preferences?cid=EML:ELQ:EM2b_adjust-email-preferences_button:system-reengagement-nurture
Submission: On September 06 via manual from US — Scanned from CA
Form analysis 1 forms found in the DOM
Name: PreferenceCTR — POST https://s298548211.t.eloqua.com/e/f2
<form method="post" name="PreferenceCTR" action="https://s298548211.t.eloqua.com/e/f2" id="form228" class="elq-form">
<input value="PreferenceCTR" type="hidden" name="elqFormName">
<input value="298548211" type="hidden" name="elqSiteId">
<input name="elqCampaignId" type="hidden">
<div class="row ">
<div class="col-lg-9 col-lg-offset-2 col-md-offset-1 col-md-11 col-sm-12">
<!-- LEFT ============-->
<div class="col-lg-6 col-sm-12 col-md-6 withPadd sinPad sinPadREmail" id="contentContact" role="tabpanel">
<div class=" col-lg-12 col-sm-12 col-md-12 sinPad sinPadREmail">
<input id="field0" name="emailAddress" type="text" class="form-control " placeholder="*Email">
</div>
<div class=" col-lg-12 col-sm-12 col-md-12 sinPad optsCollapse">
<a href="#" id="notYou" onclick="showModal();" class="notYou">Not you?</a>
</div>
<div class="contentContact" id="contentForm">
<div class="row containerRowContact">
<div class="col-lg-6 col-sm-6 col-md-6 col-xs-6 sinPad botPadd">
<input id="field2" name="firstName" type="text" class="form-control" placeholder="*First Name">
</div>
<div class="col-lg-6 col-sm-6 col-md-6 col-xs-6 sinPad botPadd">
<input id="field3" name="lastName" type="text" placeholder="*Last Name" class="form-control">
</div>
</div>
<div class=" col-lg-12 col-sm-12 col-md-12 sinPad">
<select id="field47" name="preferredLanguagePicklist1" class="form-control">
<option value=""> *Preferred Language </option>
<option value="English"> English </option>
<option value="French"> French </option>
</select>
</div>
<div class="col-lg-12 col-sm-12 col-md-12 sinPad ">
<select id="field5" name="jobRole1" class="form-control" onchange="changeJobRole();">
<option value="">*Job Role</option>
<option value="Administrator">Administrator</option>
<option value="Anesthesiologist">Anesthesiologist</option>
<option value="Biomed Engineer/Technician">Biomed Engineer/Technician</option>
<option value="Dietitian">Dietitian</option>
<option value="Educator/Trainer">Educator/Trainer</option>
<option value="Endoscopist">Endoscopist</option>
<option value="Interventionalist">Interventionalist</option>
<option value="Management / Executive">Management / Executive</option>
<option value="Materials Management/Purchasing">Materials Management/Purchasing</option>
<option value="Nurse">Nurse</option>
<option value="Perfusionist">Perfusionist</option>
<option value="Physician">Physician</option>
<option value="Physician - PCP">Physician - PCP</option>
<option value="Physician Assistant">Physician Assistant</option>
<option value="Radiologist">Radiologist</option>
<option value="Respiratory Therapist">Respiratory Therapist</option>
<option value="Surgeon">Surgeon</option>
<option value="Non-clinician (patient, caregiver, other)">Non-clinician (patient, caregiver, other)</option>
<option value="Other / Not Applicable">Other / Not Applicable</option>
</select>
</div>
<div class="col-lg-12 col-sm-12 col-md-12 sinPad " id="hide6">
<select id="field6" name="primarySpecialty1" class="form-control">
<option value="">*Primary Specialty</option>
<option value="Anesthesiology">Anesthesiology</option>
<option value="Bariatric">Bariatric</option>
<option value="Breast">Breast</option>
<option value="Cardiac">Cardiac</option>
<option value="Cardiothoracic">Cardiothoracic</option>
<option value="Colorectal">Colorectal</option>
<option value="Endocrine">Endocrine</option>
<option value="Gastrointestinal">Gastrointestinal</option>
<option value="General">General</option>
<option value="Gynecologic Oncology">Gynecologic Oncology</option>
<option value="Interventional Radiology">Interventional Radiology</option>
<option value="Interventional Pulmonolgy">Interventional Pulmonolgy</option>
<option value="Medical Oncology">Medical Oncology</option>
<option value="Neurosurgery">Neurosurgery</option>
<option value="Nurse Navigator">Nurse Navigator</option>
<option value="Obstetrics & Gynecology">Obstetrics & Gynecology</option>
<option value="Oral and Maxillofacial">Oral and Maxillofacial</option>
<option value="Orthopedic">Orthopedic</option>
<option value="Otolaryngology">Otolaryngology</option>
<option value="Pediatric">Pediatric</option>
<option value="Plastic">Plastic</option>
<option value="Podiatry">Podiatry</option>
<option value="Pulmonary">Pulmonary</option>
<option value="Radiology">Radiology</option>
<option value="Radiation Oncology">Radiation Oncology</option>
<option value="Surgical Oncology">Surgical Oncology</option>
<option value="Thoracic">Thoracic</option>
<option value="Transplant">Transplant</option>
<option value="Trauma">Trauma</option>
<option value="Urology">Urology</option>
<option value="Vascular">Vascular</option>
<option value="Other">Other</option>
</select>
</div>
<div class="col-lg-12 col-sm-12 col-md-12 sinPad">
<input t="" id="field8" name="title" type="text" class="form-control" placeholder="*Job Title">
</div>
<div class="col-lg-12 col-sm-12 col-md-12 areaOfCare sinPad " style="padding-top: 0px;" id="hide7">
<select id="field7" name="patientCareSetting" class="form-control">
<option value="">*Patient Care Setting</option>
<option value="InterventionalCare">Interventional Care</option>
<option value="DiagnosticsandImaging">Diagnostics & Imaging</option>
<option value="HealthServices">Health Services</option>
<option value="OfficeBased">Office Based</option>
<option value="EMSFire">EMS / Fire</option>
<option value="EmergencyTrauma">Emergency / Trauma</option>
<option value="ORPACUSurgeryCenter">OR / PACU / Surgery Center</option>
<option value="GeneralCare">General Care</option>
<option value="LaborandDelivery">Labor & Delivery</option>
<option value="NICUPICU">Neonatal / Pediatric Intensive Care (NICU / PICU)</option>
<option value="ICU">Intensive Care (ICU)</option>
<option value="OccupationalPhysicalTherapy">Occupational / Physical Therapy</option>
<option value="ExtendedCare">Extended Care (Long term care, home care)</option>
<option value="other">Patient Care - Other</option>
</select>
</div>
<div class="col-lg-12 col-sm-12 col-md-12 sinPad areaOfCare" style="padding-top: 0px;">
<input id="field4" name="company" type="text" class="form-control" placeholder="*Company">
</div>
<div class="row containerRowContact">
<div class="col-lg-6 col-sm-6 col-md-6 col-xs-6 sinPad ">
<input id="field9" name="address1" type="text" class="form-control" placeholder="Address 1">
</div>
<div class="col-lg-6 col-sm-6 col-md-6 col-xs-6 sinPad">
<input id="field10" name="address2" type="text" class="form-control" placeholder="Address 2">
</div>
</div>
<div class="row containerRowContact">
<div class="col-lg-6 col-sm-6 col-md-6 col-xs-6 sinPad ">
<input id="field11" name="city" type="text" class="form-control" placeholder="City">
</div>
<div class="col-lg-6 col-sm-6 col-md-6 col-xs-6 sinPad ">
<select id="field12" name="stateProv" class="form-control">
<option value="">State/Province</option>
<option value="AK">Alaska</option>
<option value="AL">Alabama</option>
<option value="AR">Arkansas</option>
<option value="AS">American Samoa</option>
<option value="AZ">Arizona</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DC">D.C.</option>
<option value="DE">Delaware</option>
<option value="FL">Florida</option>
<option value="FM">Micronesia</option>
<option value="GA">Georgia</option>
<option value="GU">Guam</option>
<option value="HI">Hawaii</option>
<option value="IA">Iowa</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="MA">Massachusetts</option>
<option value="MD">Maryland</option>
<option value="ME">Maine</option>
<option value="MH">Marshall Islands</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MO">Missouri</option>
<option value="MP">Marianas</option>
<option value="MS">Mississippi</option>
<option value="MT">Montana</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="NE">Nebraska</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NV">Nevada</option>
<option value="NY">New York</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="PR">Puerto Rico</option>
<option value="PW">Palau</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VA">Virginia</option>
<option value="VI">Virgin Islands</option>
<option value="VT">Vermont</option>
<option value="WA">Washington</option>
<option value="WI">Wisconsin</option>
<option value="WV">West Virginia</option>
<option value="WY">Wyoming</option>
<option value="AA">Military Americas</option>
<option value="AE">Military Europe/ME/Canada</option>
<option value="AP">Military Pacific</option>
<option value="AB">Alberta</option>
<option value="MB">Manitoba</option>
<option value="BC">British Columbia</option>
<option value="NB">New Brunswick</option>
<option value="NL">Newfoundland and Labrador</option>
<option value="NS">Nova Scotia</option>
<option value="NT">Northwest Territories</option>
<option value="NU">Nunavut</option>
<option value="ON">Ontario</option>
<option value="PE">Prince Edward Island</option>
<option value="QC">Quebec</option>
<option value="SK">Saskatchewan</option>
<option value="YT">Yukon Territory</option>
</select>
</div>
</div>
<div class="row containerRowContact">
<div class="col-lg-4 col-sm-4 col-md-4 col-xs-4 sinPad ">
<input id="field13" name="zipPostal" type="text" class="form-control" placeholder="Zip Code">
</div>
<div class="col-lg-8 col-sm-8 col-md-8 col-xs-8 sinPad ">
<select id="field1" name="country" class="form-control">
<option value="" selected="selected">*Country</option>
<option value="US">United States</option>
<option value="GB">United Kingdom</option>
<option value="CA">Canada</option>
<option value="IN">India</option>
<option value="NL">Netherlands</option>
<option value="AU">Australia</option>
<option value="ZA">South Africa</option>
<option value="FR">France</option>
<option value="DE">Germany</option>
<option value="SG">Singapore</option>
<option value="SE">Sweden</option>
<option value="BR">Brazil</option>
<option value="">--------------</option>
<option value="AF">Afghanistan</option>
<option value="AX">Ãland Islands</option>
<option value="AL">Albania</option>
<option value="DZ">Algeria</option>
<option value="AS">American Samoa</option>
<option value="AD">Andorra</option>
<option value="AO">Angola</option>
<option value="AI">Anguilla</option>
<option value="AQ">Antarctica</option>
<option value="AG">Antigua and Barbuda</option>
<option value="AR">Argentina</option>
<option value="AM">Armenia</option>
<option value="AW">Aruba</option>
<option value="AU">Australia</option>
<option value="AT">Austria</option>
<option value="AZ">Azerbaijan</option>
<option value="BS">Bahamas</option>
<option value="BH">Bahrain</option>
<option value="BD">Bangladesh</option>
<option value="BB">Barbados</option>
<option value="BY">Belarus</option>
<option value="BE">Belgium</option>
<option value="BZ">Belize</option>
<option value="BJ">Benin</option>
<option value="BM">Bermuda</option>
<option value="BT">Bhutan</option>
<option value="BO">Bolivia</option>
<option value="BA">Bosnia and Herzegovina</option>
<option value="BW">Botswana</option>
<option value="BV">Bouvet Island</option>
<option value="BR">Brazil</option>
<option value="IO">Brit/Indian Ocean Terr.</option>
<option value="BN">Brunei Darussalam</option>
<option value="BG">Bulgaria</option>
<option value="BF">Burkina Faso</option>
<option value="BI">Burundi</option>
<option value="KH">Cambodia</option>
<option value="CM">Cameroon</option>
<option value="CA">Canada</option>
<option value="CV">Cape Verde</option>
<option value="KY">Cayman Islands</option>
<option value="CF">Central African Republic</option>
<option value="TD">Chad</option>
<option value="CL">Chile</option>
<option value="CN">China</option>
<option value="CX">Christmas Island</option>
<option value="CC">Cocos (Keeling) Islands</option>
<option value="CO">Colombia</option>
<option value="KM">Comoros</option>
<option value="CG">Congo</option>
<option value="CD">Congo, The Dem. Republic Of</option>
<option value="CK">Cook Islands</option>
<option value="CR">Costa Rica</option>
<option value="CI">Côte D'Ivore</option>
<option value="HR">Croatia</option>
<option value="CU">Cuba</option>
<option value="CW">Curaçao</option>
<option value="CY">Cyprus</option>
<option value="CZ">Czech Republic</option>
<option value="DK">Denmark</option>
<option value="DJ">Djibouti</option>
<option value="DM">Dominica</option>
<option value="DO">Dominican Republic</option>
<option value="EC">Ecuador</option>
<option value="EG">Egypt</option>
<option value="SV">El Salvador</option>
<option value="GQ">Equatorial Guinea</option>
<option value="ER">Eritrea</option>
<option value="EE">Estonia</option>
<option value="ET">Ethiopia</option>
<option value="FK">Falkland Islands</option>
<option value="FO">Faroe Islands</option>
<option value="FJ">Fiji</option>
<option value="FI">Finland</option>
<option value="FR">France</option>
<option value="GF">French Guiana</option>
<option value="PF">French Polynesia</option>
<option value="TF">French Southern Terr.</option>
<option value="GA">Gabon</option>
<option value="GM">Gambia</option>
<option value="GE">Georgia</option>
<option value="DE">Germany</option>
<option value="GH">Ghana</option>
<option value="GI">Gibraltar</option>
<option value="GB">United Kingdom</option>
<option value="GR">Greece</option>
<option value="GL">Greenland</option>
<option value="GD">Grenada</option>
<option value="GP">Guadeloupe</option>
<option value="GU">Guam</option>
<option value="GT">Guatemala</option>
<option value="GN">Guinea</option>
<option value="GW">Guinea-Bissau</option>
<option value="GY">Guyana</option>
<option value="HT">Haiti</option>
<option value="HM">Heard/McDonald Isls.</option>
<option value="HN">Honduras</option>
<option value="HK">Hong Kong</option>
<option value="HU">Hungary</option>
<option value="IS">Iceland</option>
<option value="IN">India</option>
<option value="ID">Indonesia</option>
<option value="IR">Iran</option>
<option value="IQ">Iraq</option>
<option value="IE">Ireland</option>
<option value="IL">Israel</option>
<option value="IT">Italy</option>
<option value="JM">Jamaica</option>
<option value="JP">Japan</option>
<option value="JO">Jordan</option>
<option value="KZ">Kazakhstan</option>
<option value="KE">Kenya</option>
<option value="KI">Kiribati</option>
<option value="KP">Korea (North)</option>
<option value="KR">Korea (South)</option>
<option value="KW">Kuwait</option>
<option value="KG">Kyrgyzstan</option>
<option value="LA">Laos</option>
<option value="LV">Latvia</option>
<option value="LB">Lebanon</option>
<option value="LS">Lesotho</option>
<option value="LR">Liberia</option>
<option value="LY">Libya</option>
<option value="LI">Liechtenstein</option>
<option value="LT">Lithuania</option>
<option value="LU">Luxembourg</option>
<option value="MO">Macau</option>
<option value="MK">Macedonia</option>
<option value="MG">Madagascar</option>
<option value="MW">Malawi</option>
<option value="MY">Malaysia</option>
<option value="MV">Maldives</option>
<option value="ML">Mali</option>
<option value="MT">Malta</option>
<option value="MH">Marshall Islands</option>
<option value="MQ">Martinique</option>
<option value="MR">Mauritania</option>
<option value="MU">Mauritius</option>
<option value="YT">Mayotte</option>
<option value="MX">Mexico</option>
<option value="FM">Micronesia</option>
<option value="MD">Moldova</option>
<option value="MC">Monaco</option>
<option value="MN">Mongolia</option>
<option value="MS">Montserrat</option>
<option value="MA">Morocco</option>
<option value="MZ">Mozambique</option>
<option value="MM">Myanmar</option>
<option value="MP">N. Mariana Isls.</option>
<option value="NA">Namibia</option>
<option value="NR">Nauru</option>
<option value="NP">Nepal</option>
<option value="NL">Netherlands</option>
<option value="AN">Netherlands Antilles</option>
<option value="NC">New Caledonia</option>
<option value="NZ">New Zealand</option>
<option value="NI">Nicaragua</option>
<option value="NE">Niger</option>
<option value="NG">Nigeria</option>
<option value="NU">Niue</option>
<option value="NF">Norfolk Island</option>
<option value="NO">Norway</option>
<option value="OM">Oman</option>
<option value="PK">Pakistan</option>
<option value="PW">Palau</option>
<option value="PS">Palestinian Territory, Occupied</option>
<option value="PA">Panama</option>
<option value="PG">Papua New Guinea</option>
<option value="PY">Paraguay</option>
<option value="PE">Peru</option>
<option value="PH">Philippines</option>
<option value="PN">Pitcairn</option>
<option value="PL">Poland</option>
<option value="PT">Portugal</option>
<option value="PR">Puerto Rico</option>
<option value="QA">Qatar</option>
<option value="RE">Reunion</option>
<option value="RO">Romania</option>
<option value="RU">Russian Federation</option>
<option value="RW">Rwanda</option>
<option value="KN">Saint Kitts and Nevis</option>
<option value="LC">Saint Lucia</option>
<option value="WS">Samoa</option>
<option value="SM">San Marino</option>
<option value="ST">Sao Tome/Principe</option>
<option value="SA">Saudi Arabia</option>
<option value="SN">Senegal</option>
<option value="CS">Serbia and Montenegro</option>
<option value="SC">Seychelles</option>
<option value="SL">Sierra Leone</option>
<option value="SG">Singapore</option>
<option value="SK">Slovak Republic</option>
<option value="SI">Slovenia</option>
<option value="SB">Solomon Islands</option>
<option value="SO">Somalia</option>
<option value="ZA">South Africa</option>
<option value="ES">Spain</option>
<option value="LK">Sri Lanka</option>
<option value="SH">St. Helena</option>
<option value="PM">St. Pierre and Miquelon</option>
<option value="VC">St. Vincent and Grenadines</option>
<option value="SD">Sudan</option>
<option value="SR">Suriname</option>
<option value="SJ">Svalbard/Jan Mayen Isls.</option>
<option value="SZ">Swaziland</option>
<option value="SE">Sweden</option>
<option value="CH">Switzerland</option>
<option value="SY">Syria</option>
<option value="TJ">Tajikistan</option>
<option value="TZ">Tanzania</option>
<option value="TH">Thailand</option>
<option value="TL">Timor-Leste</option>
<option value="TG">Togo</option>
<option value="TK">Tokelau</option>
<option value="TO">Tonga</option>
<option value="TT">Trinidad and Tobago</option>
<option value="TN">Tunisia</option>
<option value="TR">Turkey</option>
<option value="TM">Turkmenistan</option>
<option value="TC">Turks/Caicos Isls.</option>
<option value="TV">Tuvalu</option>
<option value="UG">Uganda</option>
<option value="UA">Ukraine</option>
<option value="AE">United Arab Emirates</option>
<option value="UM">US Minor Outlying Is.</option>
<option value="UY">Uruguay</option>
<option value="UZ">Uzbekistan</option>
<option value="VU">Vanuatu</option>
<option value="VA">Vatican City</option>
<option value="VE">Venezuela</option>
<option value="VN">Viet Nam</option>
<option value="VG">Virgin Islands (British)</option>
<option value="VI">Virgin Islands (U.S.)</option>
<option value="WF">Wallis/Futuna Isls.</option>
<option value="EH">Western Sahara</option>
<option value="YE">Yemen</option>
<option value="ZM">Zambia</option>
<option value="ZW">Zimbabwe</option>
</select>
</div>
</div>
<div class="col-lg-12 col-sm-12 col-md-12 sinPad">
<input id="field14" name="busPhone" type="text" class="form-control" placeholder="Phone">
</div>
<div class="sc-view form-design-field sc-static-layout sc-regular-size">
<input id="field48" type="hidden" name="utm_campaignsource" value="">
</div>
<div class="col-lg-12 col-sm-12 col-md-12 sinPad">
<input type="submit" id="subBtn" name="subBtn" value="SUBMIT" class=" btn btn-primary btn-submit showFull">
</div>
</div>
</div>
<!-- /LEFT ============-->
<!-- RIGHT ============-->
<div class="col-lg-6 col-sm-12 col-md-6 withPadd sinPad sinPadR contentSubscription containerSubs" role="tabpanel">
<div id="contentSubscription">
<div>
<div id="subs1ALL">
<a id="subs1" class="btn btn-primary btnEspecialSelects separtionCollapse" role="button" data-toggle="collapse" href="#collapseExample1" aria-expanded="false" aria-controls="collapseExample1" onclick="selectSubs('subs1');"> Bulletins and Newsletters </a>
<div class="collapse optsCollapse" id="collapseExample1">
<div class="col-lg-12 col-sm-12 col-md-12 withPadd sinPad sinPadR">
<div class="col-lg-5 col-sm-3 col-md-5 col-xs-12 withPadd sinPad sinPadR">
<div class="btn-group" data-toggle="buttons">
<input name="bariatricBulletin" id="bariatricBulletin" type="checkbox" value="on" class="hideRad">
<label class="btn btn-xs btn-primary btn-not option11" id="bariatricBulletinlabel" onclick="markRadiotrue('bariatricBulletin');">
<input type="radio" name="options" id="option1" autocomplete="off">
<span class="subSelect">Subscribe</span></label>
<label class="btn btn-xs btn-primary active btn-not option12" id="bariatricBulletinlabeloff" onclick="markRadiofalse('bariatricBulletin');">
<input type="radio" name="options" id="option2" autocomplete="off" checked="">
<span class="unsubSelect">Unsubscribe</span> </label>
</div>
</div>
<div class="col-lg-7 col-sm-9 col-md-7 col-xs-12 withPadd sinPad sinPadR">
<label class="padNeg"> <b id="bariatricAndMetabolic"> Bariatric and Metabolic Bulletin & Updates </b></label>
<br>
</div>
<label class="sinMarTop" id="bulletinWithResources">Bulletin with resources relating to the entire continuum of Metabolic & Bariatric Health</label>
</div>
<div class="col-lg-12 col-sm-12 col-md-12 withPadd sinPad sinPadR">
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<a id="subs4" class="btn btn-primary btnEspecialSelects separtionCollapse" role="button" data-toggle="collapse" href="#collapseExample4" aria-expanded="false" aria-controls="collapseExample4" onclick="selectSubs('subs4');"> Care Area Communications </a>
<div class="collapse optsCollapse" id="collapseExample4">
<div class="row containerRowContact">
<div class="col-lg-12 col-sm-12 col-md-12 withPadd sinPad sinPadR">
<div class="btn-group" data-toggle="buttons">
<input name="neonatalCare" id="neonatalCare" type="checkbox" value="on" class="hideRad">
<label class="btn btn-xs btn-primary btn-not option41" id="neonatalCarelabel" onclick="markRadiotrue('neonatalCare');">
<input type="radio" name="options" id="option1" autocomplete="off">
<span class="subSelect">Subscribe</span></label>
<label class="btn btn-xs btn-primary active btn-not option42" id="neonatalCarelabeloff" onclick="markRadiofalse('neonatalCare');">
<input type="radio" name="options" id="option2" autocomplete="off" checked="">
<span class="unsubSelect">Unsubscribe</span> </label>
<label><b>Neonatal Intensive Care</b></label>
</div>
</div>
</div>
<div class="row containerRowContact">
<div class="btn-group" data-toggle="buttons">
<input name="intensiveCare" id="intensiveCare" type="checkbox" value="on" class="hideRad">
<label class="btn btn-xs btn-primary btn-not option41" id="intensiveCarelabel" onclick="markRadiotrue('intensiveCare');">
<input type="radio" name="options" id="option1" autocomplete="off">
<span class="subSelect">Subscribe</span></label>
<label class="btn btn-xs btn-primary active btn-not option42" id="intensiveCarelabeloff" onclick="markRadiofalse('intensiveCare');">
<input type="radio" name="options" id="option2" autocomplete="off" checked="">
<span class="unsubSelect">Unsubscribe</span> </label>
<label><b>Intensive Care</b></label>
</div>
</div>
<div class="row containerRowContact">
<div class="btn-group" data-toggle="buttons">
<input name="operatingRoom" id="operatingRoom" type="checkbox" value="on" class="hideRad">
<label class="btn btn-xs btn-primary btn-not option41" id="operatingRoomlabel" onclick="markRadiotrue('operatingRoom');">
<input type="radio" name="options" id="option1" autocomplete="off">
<span class="subSelect">Subscribe</span></label>
<label class="btn btn-xs btn-primary active btn-not option42" id="operatingRoomlabeloff" onclick="markRadiofalse('operatingRoom');">
<input type="radio" name="options" id="option2" autocomplete="off" checked="">
<span class="unsubSelect">Unsubscribe</span> </label>
<label><b>Operating Room</b></label>
</div>
</div>
<div class="row containerRowContact">
<div class="btn-group" data-toggle="buttons">
<input name="extendedCare" id="extendedCare" type="checkbox" value="on" class="hideRad">
<label class="btn btn-xs btn-primary btn-not option41" id="extendedCarelabel" onclick="markRadiotrue('extendedCare');">
<input type="radio" name="options" id="option1" autocomplete="off">
<span class="subSelect">Subscribe</span></label>
<label class="btn btn-xs btn-primary active btn-not option42" id="extendedCarelabeloff" onclick="markRadiofalse('extendedCare');">
<input type="radio" name="options" id="option2" autocomplete="off" checked="">
<span class="unsubSelect">Unsubscribe</span> </label>
<label><b>Extended Care</b></label>
</div>
</div>
<a href="javascript:markAll4();" class="btn btn-xs btn-primary btn-not btn-full">Subscribe to All Care Area Communications</a>
</div>
<div class="row container">
<div class="col-lg-12 col-sm-12 col-md-12 sinPad sinPadR ">
<input name="globalUnsub" id="globalUnsub" type="checkbox" value="on">
<label id="optOut">Global Opt Out</label>
</div>
</div>
<div class="row containerRowContact">
<button type="button" id="nextBtn" class="btn btn-lg btn-primary btn-submit" onclick="nextStep();"> Next </button>
</div>
</div>
</div>
<div class="row">
<p id="casl" style="padding:10px 15px 0px 15px; margin-bottom: 0px;"> By filling out this form you are consenting to receive commercial messaging. You can unsubscribe at any time by visiting this page and updating your Preferences. </p>
</div>
<div class="row container">
<div class="col-lg-12 col-sm-12 col-md-12 sinPad sinPadR">
<!-- Small modal -->
<input type="submit" id="subBtn" name="subBtnModal" value="SUBMIT" class=" btn btn-primary btn-submit contentContact">
<div class="modal fade bs-example-modal-sm" role="dialog" aria-labelledby="mySmallModalLabel">
<div class="modal-dialog" role="document">
<div class="modal-content">
<div class="modal-header">
</div>
<div class="modal-body">
<div class="row">
<div class=" col-lg-12 col-sm-12 col-md-12">
<p><img src="http://img.en25.com/Web/Covidien/%7B3a606e23-4916-4e9b-bf83-48d9684ddd74%7D_logo_tagline_rgb_png.png" class="logoCustomModal" id="logoCustomModal">
</p>
</div>
<div class=" col-lg-12 col-sm-12 col-md-12">
<p style="text-align: justify;" id="pleaseProvide"> Please provide your email address and country to sign up or update your communications preferences. If we have your email in our database, we’ll prepopulate the form for
you. </p>
</div>
<div class=" col-lg-12 col-sm-12 col-md-12">
<input type="text" class="form-control" id="emailModal" placeholder="*Email">
</div>
<div class="col-lg-12 col-sm-12 col-md-12">
<select id="country" name="" class="form-control">
<option value="">*Country/Region</option>
<option value="US">United States</option>
<option value="GB">United Kingdom</option>
<option value="CA">Canada</option>
<option value="IN">India</option>
<option value="NL">Netherlands</option>
<option value="AU">Australia</option>
<option value="ZA">South Africa</option>
<option value="FR">France</option>
<option value="DE">Germany</option>
<option value="SG">Singapore</option>
<option value="SE">Sweden</option>
<option value="BR">Brazil</option>
<option value="">--------------</option>
<option value="AF">Afghanistan</option>
<option value="AX">Ãland Islands</option>
<option value="AL">Albania</option>
<option value="DZ">Algeria</option>
<option value="AS">American Samoa</option>
<option value="AD">Andorra</option>
<option value="AO">Angola</option>
<option value="AI">Anguilla</option>
<option value="AQ">Antarctica</option>
<option value="AG">Antigua and Barbuda</option>
<option value="AR">Argentina</option>
<option value="AM">Armenia</option>
<option value="AW">Aruba</option>
<option value="AU">Australia</option>
<option value="AT">Austria</option>
<option value="AZ">Azerbaijan</option>
<option value="BS">Bahamas</option>
<option value="BH">Bahrain</option>
<option value="BD">Bangladesh</option>
<option value="BB">Barbados</option>
<option value="BY">Belarus</option>
<option value="BE">Belgium</option>
<option value="BZ">Belize</option>
<option value="BJ">Benin</option>
<option value="BM">Bermuda</option>
<option value="BT">Bhutan</option>
<option value="BO">Bolivia</option>
<option value="BA">Bosnia and Herzegovina</option>
<option value="BW">Botswana</option>
<option value="BV">Bouvet Island</option>
<option value="BR">Brazil</option>
<option value="IO">Brit/Indian Ocean Terr.</option>
<option value="BN">Brunei Darussalam</option>
<option value="BG">Bulgaria</option>
<option value="BF">Burkina Faso</option>
<option value="BI">Burundi</option>
<option value="KH">Cambodia</option>
<option value="CM">Cameroon</option>
<option value="CA">Canada</option>
<option value="CV">Cape Verde</option>
<option value="KY">Cayman Islands</option>
<option value="CF">Central African Republic</option>
<option value="TD">Chad</option>
<option value="CL">Chile</option>
<option value="CN">China</option>
<option value="CX">Christmas Island</option>
<option value="CC">Cocos (Keeling) Islands</option>
<option value="CO">Colombia</option>
<option value="KM">Comoros</option>
<option value="CG">Congo</option>
<option value="CD">Congo, The Dem. Republic Of</option>
<option value="CK">Cook Islands</option>
<option value="CR">Costa Rica</option>
<option value="CI">Côte D'Ivore</option>
<option value="HR">Croatia</option>
<option value="CU">Cuba</option>
<option value="CW">Curaçao</option>
<option value="CY">Cyprus</option>
<option value="CZ">Czech Republic</option>
<option value="DK">Denmark</option>
<option value="DJ">Djibouti</option>
<option value="DM">Dominica</option>
<option value="DO">Dominican Republic</option>
<option value="EC">Ecuador</option>
<option value="EG">Egypt</option>
<option value="SV">El Salvador</option>
<option value="GQ">Equatorial Guinea</option>
<option value="ER">Eritrea</option>
<option value="EE">Estonia</option>
<option value="ET">Ethiopia</option>
<option value="FK">Falkland Islands</option>
<option value="FO">Faroe Islands</option>
<option value="FJ">Fiji</option>
<option value="FI">Finland</option>
<option value="FR">France</option>
<option value="GF">French Guiana</option>
<option value="PF">French Polynesia</option>
<option value="TF">French Southern Terr.</option>
<option value="GA">Gabon</option>
<option value="GM">Gambia</option>
<option value="GE">Georgia</option>
<option value="DE">Germany</option>
<option value="GH">Ghana</option>
<option value="GI">Gibraltar</option>
<option value="GB">United Kingdom</option>
<option value="GR">Greece</option>
<option value="GL">Greenland</option>
<option value="GD">Grenada</option>
<option value="GP">Guadeloupe</option>
<option value="GU">Guam</option>
<option value="GT">Guatemala</option>
<option value="GN">Guinea</option>
<option value="GW">Guinea-Bissau</option>
<option value="GY">Guyana</option>
<option value="HT">Haiti</option>
<option value="HM">Heard/McDonald Isls.</option>
<option value="HN">Honduras</option>
<option value="HK">Hong Kong</option>
<option value="HU">Hungary</option>
<option value="IS">Iceland</option>
<option value="IN">India</option>
<option value="ID">Indonesia</option>
<option value="IR">Iran</option>
<option value="IQ">Iraq</option>
<option value="IE">Ireland</option>
<option value="IL">Israel</option>
<option value="IT">Italy</option>
<option value="JM">Jamaica</option>
<option value="JP">Japan</option>
<option value="JO">Jordan</option>
<option value="KZ">Kazakhstan</option>
<option value="KE">Kenya</option>
<option value="KI">Kiribati</option>
<option value="KP">Korea (North)</option>
<option value="KR">Korea (South)</option>
<option value="KW">Kuwait</option>
<option value="KG">Kyrgyzstan</option>
<option value="LA">Laos</option>
<option value="LV">Latvia</option>
<option value="LB">Lebanon</option>
<option value="LS">Lesotho</option>
<option value="LR">Liberia</option>
<option value="LY">Libya</option>
<option value="LI">Liechtenstein</option>
<option value="LT">Lithuania</option>
<option value="LU">Luxembourg</option>
<option value="MO">Macau</option>
<option value="MK">Macedonia</option>
<option value="MG">Madagascar</option>
<option value="MW">Malawi</option>
<option value="MY">Malaysia</option>
<option value="MV">Maldives</option>
<option value="ML">Mali</option>
<option value="MT">Malta</option>
<option value="MH">Marshall Islands</option>
<option value="MQ">Martinique</option>
<option value="MR">Mauritania</option>
<option value="MU">Mauritius</option>
<option value="YT">Mayotte</option>
<option value="MX">Mexico</option>
<option value="FM">Micronesia</option>
<option value="MD">Moldova</option>
<option value="MC">Monaco</option>
<option value="MN">Mongolia</option>
<option value="MS">Montserrat</option>
<option value="MA">Morocco</option>
<option value="MZ">Mozambique</option>
<option value="MM">Myanmar</option>
<option value="MP">N. Mariana Isls.</option>
<option value="NA">Namibia</option>
<option value="NR">Nauru</option>
<option value="NP">Nepal</option>
<option value="NL">Netherlands</option>
<option value="AN">Netherlands Antilles</option>
<option value="NC">New Caledonia</option>
<option value="NZ">New Zealand</option>
<option value="NI">Nicaragua</option>
<option value="NE">Niger</option>
<option value="NG">Nigeria</option>
<option value="NU">Niue</option>
<option value="NF">Norfolk Island</option>
<option value="NO">Norway</option>
<option value="OM">Oman</option>
<option value="PK">Pakistan</option>
<option value="PW">Palau</option>
<option value="PS">Palestinian Territory, Occupied</option>
<option value="PA">Panama</option>
<option value="PG">Papua New Guinea</option>
<option value="PY">Paraguay</option>
<option value="PE">Peru</option>
<option value="PH">Philippines</option>
<option value="PN">Pitcairn</option>
<option value="PL">Poland</option>
<option value="PT">Portugal</option>
<option value="PR">Puerto Rico</option>
<option value="QA">Qatar</option>
<option value="RE">Reunion</option>
<option value="RO">Romania</option>
<option value="RU">Russian Federation</option>
<option value="RW">Rwanda</option>
<option value="KN">Saint Kitts and Nevis</option>
<option value="LC">Saint Lucia</option>
<option value="WS">Samoa</option>
<option value="SM">San Marino</option>
<option value="ST">Sao Tome/Principe</option>
<option value="SA">Saudi Arabia</option>
<option value="SN">Senegal</option>
<option value="CS">Serbia and Montenegro</option>
<option value="SC">Seychelles</option>
<option value="SL">Sierra Leone</option>
<option value="SG">Singapore</option>
<option value="SK">Slovak Republic</option>
<option value="SI">Slovenia</option>
<option value="SB">Solomon Islands</option>
<option value="SO">Somalia</option>
<option value="ZA">South Africa</option>
<option value="ES">Spain</option>
<option value="LK">Sri Lanka</option>
<option value="SH">St. Helena</option>
<option value="PM">St. Pierre and Miquelon</option>
<option value="VC">St. Vincent and Grenadines</option>
<option value="SD">Sudan</option>
<option value="SR">Suriname</option>
<option value="SJ">Svalbard/Jan Mayen Isls.</option>
<option value="SZ">Swaziland</option>
<option value="SE">Sweden</option>
<option value="CH">Switzerland</option>
<option value="SY">Syria</option>
<option value="TW">Taiwan</option>
<option value="TJ">Tajikistan</option>
<option value="TZ">Tanzania</option>
<option value="TH">Thailand</option>
<option value="TL">Timor-Leste</option>
<option value="TG">Togo</option>
<option value="TK">Tokelau</option>
<option value="TO">Tonga</option>
<option value="TT">Trinidad and Tobago</option>
<option value="TN">Tunisia</option>
<option value="TR">Turkey</option>
<option value="TM">Turkmenistan</option>
<option value="TC">Turks/Caicos Isls.</option>
<option value="TV">Tuvalu</option>
<option value="UG">Uganda</option>
<option value="UA">Ukraine</option>
<option value="AE">United Arab Emirates</option>
<option value="UM">US Minor Outlying Is.</option>
<option value="UY">Uruguay</option>
<option value="UZ">Uzbekistan</option>
<option value="VU">Vanuatu</option>
<option value="VA">Vatican City</option>
<option value="VE">Venezuela</option>
<option value="VN">Viet Nam</option>
<option value="VG">Virgin Islands (British)</option>
<option value="VI">Virgin Islands (U.S.)</option>
<option value="WF">Wallis/Futuna Isls.</option>
<option value="EH">Western Sahara</option>
<option value="YE">Yemen</option>
<option value="ZM">Zambia</option>
<option value="ZW">Zimbabwe</option>
</select>
</div>
<div class=" col-lg-12 col-sm-12 col-md-12">
<select id="languageModal" name="" class="form-control">
<option value=""> *Preferred Language </option>
<option value="English"> English </option>
<option value="French"> French </option>
</select>
</div>
</div>
<a id="next" type="button" data-dismiss="modal" class="optsCollapse btn btn-primary separtionCollapse btn-submit ">NEXT</a>
</div>
</div><!-- /.modal-content -->
</div><!-- /.modal-dialog -->
</div><!-- /.modal -->
</div>
</div>
</div>
<!-- /RIGHT ============-->
</div>
</div>
<script src="https://img.en25.com/i/livevalidation_standalone.compressed.js" type="text/javascript"></script>
</div>
<!-- /CONTENT ============-->
<div id="footer" class="container">
<div class="row">
<div class="col-lg-4 col-md-4 col-sm-6 col-xs-12 col-lg-offset-2 col-md-offset-2 text-xs-center">
<p id="footerCopy"><br>© 2023 Medtronic. All rights reserved.</p>
<p><a href="https://www.medtronic.com/us-en/privacy-statement.html?elqTrackId=b61ef2ad9aba4d7eb05cb22663d96ff8&elqaid=801&elqat=2">Privacy Statement</a></p>
<p></p>
</div>
<div class="col-lg-4 col-md-4 col-sm-6 col-xs-12 text-xs-center text-right">
<div id="">
<a style="text-decoration: none;" target="_blank" href="https://www.facebook.com/Medtronic?elqTrackId=43b71542e6754171a6767412a087c779&elqaid=801&elqat=2"> <img src="//s298548211.t.eloqua.com/e/er?s=298548211&lid=1984"> </a><a style="text-decoration: none;" target="_blank" href="https://www.linkedin.com/company/medtronic?elqTrackId=36832e096f6c4601bad971d73cc0e094&elqaid=801&elqat=2"> <img src="//s298548211.t.eloqua.com/e/er?s=298548211&lid=1985"> </a>
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</div>
</div>
</div>
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</div>
<script type="text/javascript">
var dom0 = document.querySelector('#form228 #field0');
var field0 = new LiveValidation(dom0, {
validMessage: "",
onlyOnBlur: true
});
field0.add(Validate.Presence, {
failureMessage: "This field is required"
});
field0.add(Validate.Format, {
pattern: /^([^@\s]+)@((?:[-a-z0-9]+\.)+[a-z]{2,})$/i,
failureMessage: "A valid email address is required"
});
function hideValidation(name) {
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formObj.addField(lvfield);
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function changeJobRole() {
if ($("#field5").val() == 'Anesthesiologist' || $("#field5").val() == 'Nurse' || $("#field5").val() == 'Physician' || $("#field5").val() == 'Physician - PCP' || $("#field5").val() == 'Physician Assistant' || $("#field5").val() == 'Surgeon' ||
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$('#field47').val($(this).val());
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$('input[name=zipPostal]').attr("placeholder", "Zip Code");
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$('input[name=zipPostal]').attr("placeholder", "Code zip");
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$('select[name=stateProv]').removeAttr('disabled');
$('input[name=zipPostal]').removeAttr('disabled');
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}
function languageChanged(val) {
if (val == "French" || val == "French (Canadian)") {
//French Selection
//Modal Window
$('p#pleaseProvide').text(
'Veuillez indiquer votre adresse courriel et votre pays pour vous inscrire ou mettre à jour vos préférences de communications. Si votre adresse courriel est dans notre base de données, nous remplirons les champs du formulaire à l\'avance pour vous.'
);
$('#emailModal').attr('placeholder', '*Courriel');
$("#country option[value='']").text('*Pays');
$("#field1 option[value='']").text('*Pays');
$("#field47 option[value='']").text('*Langue préférée');
$("#languageModal option[value='']").text('*Langue préférée');
$('button#nextBtn').text('Suivant');
$('#next').text('SUIVANT');
//Preferences Landing Page
$('#myProfile').text('Mon profil et mes préférences');
$('#manageYour').text('Gérer votre information de profil et vos abonnements aux bulletins, à la formation et à d\'autres ressources et contenus gratuits pertinents pour votre profession.');
$('#yourContact').text('Vos coordonées');
$('#yourContactOther').text('/ Centre de préférences des clients');
$("span[class=subSelect]").each(function() {
$(this).text('Souscrire');
});
$("span[class=unsubSelect]").each(function() {
$(this).text('Se désabonner')
});
$('#casl').text('En remplissant le présent formulaire, vous acceptez de recevoir des messages commerciaux. Vous pouvez vous désabonner en tout temps en accédant à cette page pour modifier vos préférences.');
//Contact Information Form
$('#contactProfile1').text('Profil du contact');
$('#contactProfile2').text('Profil du contact');
$('#field0').attr('placeholder', '*Courriel');
$('#notYou').text('Ce n\'est pas vous?');
$('#field2').attr('placeholder', '*Prénom');
$('#field3').attr('placeholder', '*Nom');
$('#field4').attr('placeholder', '*Compagnie');
$('#field8').attr('placeholder', '*Titre de poste');
$("#field9").attr('placeholder', 'Adresse 1');
$("#field10").attr('placeholder', 'Adresse 2');
$("#field11").attr('placeholder', 'Ville');
$("#field14").attr('placeholder', 'Téléphone');
$("#subBtn").val('ENVOYER');
$('input[name=subBtnModal]').val('ENVOYER');
$('#optOut').text('Désabonnement global');
//PICKLIST CHANGES
//Primary Specialty
$("#field6 option[value='']").text('Spécialité principale');
$("#field6 option[value='Anesthesiology']").text('Anesthésiologie');
$("#field6 option[value='Bariatric']").text('Bariatrique');
$("#field6 option[value='Breast']").text('Sein');
$("#field6 option[value='Cardiac']").text('Cardiaque');
$("#field6 option[value='Cardiothoracic']").text('Cardiothoracique');
$("#field6 option[value='Colorectal']").text('Colorectale');
$("#field6 option[value='Endocrine']").text('Endocrine');
$("#field6 option[value='Gastrointestinal']").text('Gastro-intestinale');
$("#field6 option[value='General']").text('Omnipratique');
$("#field6 option[value='Gynecologic Oncology']").text('Oncologie gynécologique');
$("#field6 option[value='Interventional Radiology']").text('Radiologie interventionnelle');
$("#field6 option[value='Interventional Pulmonolgy']").text('Pneumologie interventionnelle');
$("#field6 option[value='Medical Oncology']").text('Oncologie médicale');
$("#field6 option[value='Neurosurgery']").text('Neurochirurgie');
$("#field6 option[value='Nurse Navigator']").text('Infirmière/infirmier pivot');
$("#field6 option[value='Obstetrics & Gynecology']").text('Obstétrique et gynécologie');
$("#field6 option[value='Oral and Maxillofacial']").text('Orale et maxillofaciale');
$("#field6 option[value='Orthopedic']").text('Orthopédique');
$("#field6 option[value='Otolaryngology']").text('Otorhinolanryngologie');
$("#field6 option[value='Pediatric']").text('Pédiatrie');
$("#field6 option[value='Plastic']").text('Chirurgie plastique');
$("#field6 option[value='Podiatry']").text('Podiatrie');
$("#field6 option[value='Pulmonary']").text('Pneumologie');
$("#field6 option[value='Radiology']").text('Radiologie');
$("#field6 option[value='Radiation Oncology']").text('Radio-oncologie');
$("#field6 option[value='Surgical Oncology']").text('Oncologie chirurgicale');
$("#field6 option[value='Thoracic']").text('Chirurgie thoracique');
$("#field6 option[value='Transplant']").text('Transplantation');
$("#field6 option[value='Trauma']").text('Trauma');
$("#field6 option[value='Urology']").text('Urologie');
$("#field6 option[value='Vascular']").text('Vasculaire');
$("#field6 option[value='Other']").text('Autre');
//JOB ROLE
$("#field5 option[value='']").text('*Rôle');
$("#field5 option[value='Administrator']").text('Administrateur');
$("#field5 option[value='Anesthesiologist']").text('Anesthésiologiste');
$("#field5 option[value='Biomed Engineer/Technician']").text('Technicien biomédical');
$("#field5 option[value='Dietitian']").text('Diététiste');
$("#field5 option[value='Educator/Trainer']").text('Éducateur / Formateur');
$("#field5 option[value='Endoscopist']").text('Endoscopiste');
$("#field5 option[value='Interventionalist']").text('Interventionniste');
$("#field5 option[value='Management / Executive']").text('Gestionnaire / Cadre');
$("#field5 option[value='Materials Management/Purchasing']").text('Gestion du matériel / Achats');
$("#field5 option[value='Nurse']").text('Personnel infirmier');
$("#field5 option[value='Perfusionist']").text('Perfusioniste');
$("#field5 option[value='Physician']").text('Médecin');
$("#field5 option[value='Physician - PCP']").text('Médecin / Médecin de soins primaires');
$("#field5 option[value='Physician Assistant']").text('Auxiliaire médical');
$("#field5 option[value='Radiologist']").text('Radiologue');
$("#field5 option[value='Respiratory Therapist']").text('Inhalothérapeute');
$("#field5 option[value='Surgeon']").text('Chirurgien');
$("#field5 option[value='Non-clinician (patient, caregiver, other)']").text('Non clinicien (patient, soignant, autre)');
$("#field5 option[value='Other / Not Applicable']").text('Autre / Ne s\'applique pas');
//*Patient Care Setting
$("#field7 option[value='']").text('*Milieu de soins aux patients');
$("#field7 option[value='InterventionalCare']").text('Soins interventionnels');
$("#field7 option[value='DiagnosticsandImaging']").text('Diagnostic et imagerie');
$("#field7 option[value='HealthServices']").text('Services de santé');
$("#field7 option[value='OfficeBased']").text('En cabinet');
$("#field7 option[value='EMSFire']").text('SMU / Incendie');
$("#field7 option[value='EmergencyTrauma']").text('Urgences / Trauma');
$("#field7 option[value='ORPACUSurgeryCenter']").text('Salle d\'op / USPA / Centre de chirurgie');
$("#field7 option[value='GeneralCare']").text('Soins généraux');
$("#field7 option[value='LaborandDelivery']").text('Travail et accouchement');
$("#field7 option[value='NICUPICU']").text('Unité de soins intensifs néonataux et pédiatriques (USIN / USIP)');
$("#field7 option[value='ICU']").text('Unité des soins intensifs (USI)');
$("#field7 option[value='OccupationalPhysicalTherapy']").text('Ergothérapie / Physiothérapie');
$("#field7 option[value='ExtendedCare']").text('Soins prolongés (soins de longue durée, soins à domicile)');
$("#field7 option[value='other']").text('Soins aux patients - Autres');
//State/Prov
$("#field12 option[value='BC']").text('Colombie-Britannique');
$("#field12 option[value='NB']").text('Nouveau-Brunswick');
$("#field12 option[value='NL']").text('Terre-Neuve et Labrador');
$("#field12 option[value='NS']").text('Nouvelle-Écosse');
$("#field12 option[value='NT']").text('Territoires du Nord-Ouest');
$("#field12 option[value='PE']").text('Île-du-Prince-Édouard');
$("#field12 option[value='QC']").text('Québec');
$("#field12 option[value='YT']").text('Yukon');
//language logic
if ($('[name=country]').val() == "US" || ($('[name=country]').val() != "US" && $('[name=country]').val() != "CA")) {
console.log("FRENCH AND US or not canadian");
$("#field12 option[value='']").text('État');
$('input[name=zipPostal]').attr("placeholder", "Code zip");
} else if ($('[name=country]').val() == "CA") {
console.log("FRENCH AND CA");
$('input[name=zipPostal]').attr("placeholder", "Code postal");
$("#field12 option[value='']").text('Province');
}
//Subscription Prefs
$('#SubPref1').text('Préférences d\'abonnement');
$('#SubPref2').text('Préférences d\'abonnement');
$('#updatesLive').text('Mises à jour sur les occasions de formation en direct et en ligne de Medtronic pertinentes pour les sélections de votre profil.');
$('#subs1').text('Bulletins et bulletins d\'information');
$('#subs2').text('Éducation, formation et évènements');
$('#subs3').text('Communications sur les produits');
$('#communicationsNew').text('Communications sur les nouveaux produits, les mises à jour de produits et les meilleures pratiques.');
$('#ventilation').text('Ventilation et voies respiratoires');
$('#patient').text('Monitorage des patients');
$('#hernia').text('Réparation de hernie');
$('#surgical').text('Agrafage chirurgical');
$('#vessel').text('Thermofusion vasculaire');
$('#generalSurgical').text("Produits de chirurgie générale");
$('#medicalSuppliesLabel').text('Fournitures médicales');
$('#gastro').text('Produits gastro-intestinaux');
$('#sharingHealth').text('Bulletin sur le partage de solutions de soins de santé');
$('#resourcesTips').text('Ressources et conseils pour proposer des améliorations dans votre hôpital');
$('#surgicalComplications').text('Bulletin sur les complications chirurgicales');
$('#articlesEvidence').text('Articles, preuves et éducation sur la réduction des complications chirurgicales');
$('#respitoryCompromise').text('Bulletin sur la détresse respiratoire');
$('#learnCommonCostly').text('Pour en savoir plus sur les effets courants, coûteux et mortels de la détresse respiratoire');
$('#bariatricAndMetabolic').text('Bulletin et mises à jour sur les troubles bariatriques et métaboliques');
$('#bulletinWithResources').text('Bulletin et ressources sur le continuum de soins bariatriques et métaboliques');
$('#gynecologicHealth').text('Bulletins sur les solutions en santé gynécologique');
$('#gynecologicBulletin').text('Bulletin, ressources, évènements, produits et tendances de l\'industrie en matière de soins gynécologiques');
$('#lungHealthB').text('Bulletin et mises à jour sur la santé pulmonaire');
$('#lungHealthBDesc').text('Bulletin avec ressources sur le continuum de soins pulmonaires');
$('#nuseBulletin').text('Bulletin et mises à jour en soins infirmiers');
$('#perioperativeNurses').text('Bulletin et ressources pour personnels infirmiers périopératoires');
$('#healthcareSolutionsNews').text('Bulletin de partage de solutions en soins de santé');
$('#eduTraEvn').text('Éducation, formation et évènements');
$('#logoImg').attr('src', 'http://img.en25.com/EloquaImages/clients/Covidien/%7Bd4740f2a-7838-40c0-9e2f-55367f793b35%7D_F_logo_tagline_reversed_white.png');
$('#logoCustomModal').attr('src', 'http://img.en25.com/EloquaImages/clients/Covidien/%7B5cbec19d-44f0-4a92-a4dc-73cab86ea52b%7D_logo_tagline_FR_rgb.jpg');
$('#subToAllNews').text('Abonnez-vous à tous les Bulletins et Bulletins');
$('#subToAllProd').text('Abonnez-vous à toutes les Communications sur les produits');
$("#subToAllProd").removeClass("btn-full");
$("#subToAllProd").addClass("btn-fullEdit");
} else {
//English Selection
console.log("We did NOT hit French (English)");
//Modal Window
$('p#pleaseProvide').text('Please provide your email address and country to sign up or update your communications preferences. If we have your email in our database, we’ll prepopulate the form for you.');
$('#emailModal').attr('placeholder', '*Email');
$("#country option[value='']").text('*Country');
$("#field1 option[value='']").text('*Country');
$("#field47 option[value='']").text('*Prefered Language');
$("#languageModal option[value='']").text('*Prefered Language');
$('button#nextBtn').text('NEXT');
$('#next').text('NEXT');
//Preferences Landing Page
$('#myProfile').text('My Profile and Preferences');
$('#manageYour').text('Manage your personal profile information and subscriptions to newsletters, education and other free content and resources relevant to your profession.');
$('#yourContact').text('Your Contact Information');
$('#yourContactOther').text('/ Customer Preference Center');
$("span[class=subSelect]").each(function() {
$(this).text('Subscribe')
});
$("span[class=unsubSelect]").each(function() {
$(this).text('Unsubscribe');
});
$('#casl').text('By filling out this form you are consenting to receive commercial messaging. You can unsubscribe at any time by visiting this page and updating your Preferences.');
//Contact Information Form
$('#contactProfile1').text('Contact Profile');
$('#contactProfile2').text('Contact Profile');
$('#field0').attr('placeholder', '*Email');
$('#notYou').text('Not you?');
$('#field2').attr('placeholder', '*First Name');
$('#field3').attr('placeholder', '*Last Name');
$('#field4').attr('placeholder', '*Company');
$('#field8').attr('placeholder', '*Job title');
$("#field9").attr('placeholder', 'Address 1');
$("#field10").attr('placeholder', 'Address 2');
$("#field11").attr('placeholder', 'City');
$("#field14").attr('placeholder', 'Phone');
$("#subBtn").val('SUBMIT');
$('input[name=subBtnModal]').val('SUBMIT');
$('#optOut').text('Global Opt Out');
$("#field6 option[value='']").text('Primary Specialty');
//PICKLIST CHANGES
//Primary Specialty
$("#field6 option[value='']").text('Primary Specialty');
$("#field6 option[value='Anesthesiology']").text('Anesthesiology');
$("#field6 option[value='Bariatric']").text('Bariatric');
$("#field6 option[value='Breast']").text('Breast');
$("#field6 option[value='Cardiac']").text('Cardiac');
$("#field6 option[value='Cardiothoracic']").text('Cardiothoracic');
$("#field6 option[value='Colorectal']").text('Colorectal');
$("#field6 option[value='Endocrine']").text('Endocrine');
$("#field6 option[value='Gastrointestinal']").text('Gastrointestinal');
$("#field6 option[value='General']").text('General');
$("#field6 option[value='Gynecologic Oncology']").text('Gynecologic Oncology');
$("#field6 option[value='Interventional Radiology']").text('Interventional Radiology');
$("#field6 option[value='Interventional Pulmonolgy']").text('Interventional Pulmonolgy');
$("#field6 option[value='Medical Oncology']").text('Medical Oncology');
$("#field6 option[value='Neurosurgery']").text('Neurosurgery');
$("#field6 option[value='Nurse Navigator']").text('Nurse Navigator');
$("#field6 option[value='Obstetrics & Gynecology']").text('Obstetrics & Gynecology');
$("#field6 option[value='Oral and Maxillofacial']").text('Oral and Maxillofacial');
$("#field6 option[value='Orthopedic']").text('Orthopedic');
$("#field6 option[value='Otolaryngology']").text('Otolaryngology');
$("#field6 option[value='Pediatric']").text('Pediatric');
$("#field6 option[value='Plastic']").text('Plastic');
$("#field6 option[value='Podiatry']").text('Podiatry');
$("#field6 option[value='Pulmonary']").text('Pulmonary');
$("#field6 option[value='Radiology']").text('Radiology');
$("#field6 option[value='Radiation Oncology']").text('Radiation Oncology');
$("#field6 option[value='Surgical Oncology']").text('Surgical Oncology');
$("#field6 option[value='Thoracic']").text('Thoracic');
$("#field6 option[value='Transplant']").text('Transplant');
$("#field6 option[value='Trauma']").text('Trauma');
$("#field6 option[value='Urology']").text('Urology');
$("#field6 option[value='Vascular']").text('Vascular');
$("#field6 option[value='Other']").text('Other');
//JOB ROLE
$("#field5 option[value='']").text('*Job Role');
$("#field5 option[value='Administrator']").text('Administrator');
$("#field5 option[value='Anesthesiologist']").text('Anesthesiologist');
$("#field5 option[value='Biomed Engineer/Technician']").text('Biomed Engineer/Technician');
$("#field5 option[value='Dietitian']").text('Dietitian');
$("#field5 option[value='Educator/Trainer']").text('Educator/Trainer');
$("#field5 option[value='Endoscopist']").text('Endoscopist');
$("#field5 option[value='Interventionalist']").text('Interventionalist');
$("#field5 option[value='Management / Executive']").text('Management / Executive');
$("#field5 option[value='Materials Management/Purchasing']").text('Materials Management/Purchasing');
$("#field5 option[value='Nurse']").text('Nurse');
$("#field5 option[value='Perfusionist']").text('Perfusionist');
$("#field5 option[value='Physician']").text('Physician');
$("#field5 option[value='Physician - PCP']").text('Physician Physician - PCP');
$("#field5 option[value='Physician Assistant']").text('Physician Assistant');
$("#field5 option[value='Radiologist']").text('Radiologue');
$("#field5 option[value='Respiratory Therapist']").text('Respiratory Therapist');
$("#field5 option[value='Surgeon']").text('Surgeon');
$("#field5 option[value='Non-clinician (patient, caregiver, other)']").text('Non-clinician (patient, caregiver, other)');
$("#field5 option[value='Other / Not Applicable']").text('Other / Not Applicable');
//*Patient Care Setting
$("#field7 option[value='']").text('*Patient Care Setting');
$("#field7 option[value='InterventionalCare']").text('Interventional Care');
$("#field7 option[value='DiagnosticsandImaging']").text('Diagnostics & Imaging');
$("#field7 option[value='HealthServices']").text('Health Services');
$("#field7 option[value='OfficeBased']").text('Office Based');
$("#field7 option[value='EMSFire']").text('EMS / Fire');
$("#field7 option[value='EmergencyTrauma']").text('Emergency / Trauma');
$("#field7 option[value='ORPACUSurgeryCenter']").text('OR / PACU / Surgery Center');
$("#field7 option[value='GeneralCare']").text('General Care');
$("#field7 option[value='LaborandDelivery']").text('Labor & Delivery');
$("#field7 option[value='NICUPICU']").text('Neonatal / Pediatric Intensive Care (NICU / PICU) ');
$("#field7 option[value='ICU']").text('Intensive Care (ICU)');
$("#field7 option[value='OccupationalPhysicalTherapy']").text('Occupational / Physical Therapy ');
$("#field7 option[value='ExtendedCare']").text('Extended Care (Long term care, home care)');
$("#field7 option[value='other']").text('Patient Care - Other');
//State/Prov
$("#field12 option[value='BC']").text('British Columbia');
$("#field12 option[value='NB']").text('New Brunswick');
$("#field12 option[value='NL']").text('Newfoundland and Labrador');
$("#field12 option[value='NS']").text('Nova Scotia');
$("#field12 option[value='NT']").text('Northwest Territories');
$("#field12 option[value='PE']").text('Prince Edward Island');
$("#field12 option[value='QC']").text('Quebec');
$("#field12 option[value='YT']").text('Yukon Territory');
//language logic
if ($('[name=country]').val() == "US" || ($('[name=country]').val() != "US" && $('[name=country]').val() != "CA")) {
$("#field12 option[value='']").text('State');
$('input[name=zipPostal]').attr("placeholder", "Zip Code");
} else if ($('[name=country]').val() == "CA") {
$('input[name=zipPostal]').attr("placeholder", "Postal Code");
$("#field12 option[value='']").text('Province');
}
//Subscription Prefs
$('#SubPref1').text('Subscription Preferences');
$('#SubPref2').text('Subscription Preferences');
$('#updatesLive').text('Updates on live and virtual Medtronic training opportunities relevant to your profile selections.');
$('#subs1').text('Bulletins and Newsletters');
$('#subs2').text('Education, Training & Events');
$('#subs3').text('Product Communications');
$('#communicationsNew').text('Communications on new products, product updates and best-practices.');
$('#ventilation').text('Ventilation and Airways');
$('#patient').text('Patient Monitoring');
$('#hernia').text('Hernia Repair');
$('#surgical').text('Surgical Stapling');
$('#vessel').text('Vessel Sealing');
$('#generalSurgical').text("General Surgical Products");
$('#medicalSuppliesLabel').text('Medical Supplies');
$('#gastro').text('Gastrointestinal Products');
$('#sharingHealth').text('Sharing Healthcare Solutions Newsletter');
$('#resourcesTips').text('Resources and tips to drive improvement at your hospital');
$('#surgicalComplications').text('Surgical Complications Newsletter');
$('#articlesEvidence').text('Articles, evidence and education around reducing complications in surgery');
$('#respitoryCompromise').text('Respiratory Compromise Newsletter');
$('#learnCommonCostly').text('Learn about the Common, Costly, Deadly effects of Respiratory Compromise');
$('#bariatricAndMetabolic').text('Bariatric and Metabolic Bulletin & Updates');
$('#bulletinWithResources').text('Bulletin with resources relating to the entire continuum of Metabolic & Bariatric Health');
$('#gynecologicHealth').text('Gynecologic Health Solutions Bulletin');
$('#gynecologicBulletin').text('Bulletin with resources, events, products and industry trends relating to Gynecologic Health');
$('#lungHealthB').text('Lung Health Bulletin & Updates');
$('#lungHealthBDesc').text('Bulletin with resources relating to the Lung Healthcare Continuum');
$('#nuseBulletin').text('Nurse Bulletin & Updates');
$('#perioperativeNurses').text('Bulletin with resources for Perioperative Nurses');
$('#healthcareSolutionsNews').text('Sharing Healthcare Solutions Newsletter');
$('#eduTraEvn').text('Education, Training & Events');
$('#logoImg').attr('src', 'http://img.en25.com/EloquaImages/clients/Covidien/%7B00648d77-faa3-4623-a30c-fb6a7b2fc66d%7D_E_logo_tagline_reversed_white.png');
$('#logoCustomModal').attr('src', 'http://img.en25.com/Web/Covidien/%7B3a606e23-4916-4e9b-bf83-48d9684ddd74%7D_logo_tagline_rgb_png.png');
$('#subToAllNews').text('Subscribe to All Bulletins & Newsletters');
$('#subToAllProd').text('Subscribe to all Product Communications');
$("#subToAllProd").removeClass("btn-fullEdit");
$("#subToAllProd").addClass("btn-full");
}
}
</script>
</form>Text Content
Your Contact Information/ Customer Preference Center SUBSCRIPTION PREFERENCES CONTACT PROFILE MY PROFILE AND PREFERENCES Manage your personal profile information and subscriptions to newsletters, education and other free content and resources relevant to your profession. CONTACT PROFILE SUBSCRIPTION PREFERENCES -------------------------------------------------------------------------------- Not you? *Preferred Language English French *Job Role Administrator Anesthesiologist Biomed Engineer/Technician Dietitian Educator/Trainer Endoscopist Interventionalist Management / Executive Materials Management/Purchasing Nurse Perfusionist Physician Physician - PCP Physician Assistant Radiologist Respiratory Therapist Surgeon Non-clinician (patient, caregiver, other) Other / Not Applicable *Primary SpecialtyAnesthesiologyBariatricBreastCardiacCardiothoracicColorectalEndocrineGastrointestinalGeneralGynecologic OncologyInterventional RadiologyInterventional PulmonolgyMedical OncologyNeurosurgeryNurse NavigatorObstetrics & GynecologyOral and MaxillofacialOrthopedicOtolaryngologyPediatricPlasticPodiatryPulmonaryRadiologyRadiation OncologySurgical OncologyThoracicTransplantTraumaUrologyVascularOther *Patient Care Setting Interventional Care Diagnostics & Imaging Health Services Office Based EMS / Fire Emergency / Trauma OR / PACU / Surgery Center General Care Labor & Delivery Neonatal / Pediatric Intensive Care (NICU / PICU) Intensive Care (ICU) Occupational / Physical Therapy Extended Care (Long term care, home care) Patient Care - Other State/Province AlaskaAlabamaArkansasAmerican SamoaArizonaCaliforniaColoradoConnecticutD.C.DelawareFloridaMicronesiaGeorgiaGuamHawaiiIowaIdahoIllinoisIndianaKansasKentuckyLouisianaMassachusettsMarylandMaineMarshall IslandsMichiganMinnesotaMissouriMarianasMississippiMontanaNorth CarolinaNorth DakotaNebraskaNew HampshireNew JerseyNew MexicoNevadaNew YorkOhioOklahomaOregonPennsylvaniaPuerto RicoPalauRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVirginiaVirgin IslandsVermontWashingtonWisconsinWest VirginiaWyomingMilitary AmericasMilitary Europe/ME/CanadaMilitary PacificAlbertaManitobaBritish ColumbiaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Territory *Country United StatesUnited KingdomCanadaIndiaNetherlandsAustraliaSouth AfricaFranceGermanySingaporeSwedenBrazil--------------AfghanistanÃland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBrit/Indian Ocean Terr.Brunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo, The Dem. 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