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Submitted URL: http://www.3m.com/medical
Effective URL: https://www.3m.com/3M/en_US/medical-us/?utm_medium=redirect&utm_source=vanity-url&utm_campaign=www.3m.com/Medical
Submission: On August 04 via manual from US — Scanned from DE
Effective URL: https://www.3m.com/3M/en_US/medical-us/?utm_medium=redirect&utm_source=vanity-url&utm_campaign=www.3m.com/Medical
Submission: On August 04 via manual from US — Scanned from DE
Form analysis 3 forms found in the DOM
Name: MSD-202004-en_US-OFR-COVID_Feedback — POST
<form class="cmxform js-subvalidate js-emailform mmmMailForm eloquaForm eloquaLightbox" method="POST" name="MSD-202004-en_US-OFR-COVID_Feedback" novalidate="novalidate" id="MSD-202004-en_US-OFR-COVID_Feedback"
data-options="{"submitHandler":"elqFormHandler", "vendor":"elq"}">
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<input type="hidden" name="form_key" id="form_key" value="mmm">
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<input type="hidden" name="elqFormName" value="MSD-202004-en_US-OFR-COVID_Feedback" id="" data-lookup="">
<input type="hidden" name="elqSiteId" value="837031577" id="" data-lookup="">
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<input type="hidden" name="trackingCode1" value="" id="fe353234" data-lookup="">
<input type="hidden" name="language1" value="English" id="fe353235" data-lookup="">
<input type="hidden" name="division1" value="MSD - Medical Solutions Division" id="fe353236" data-lookup="">
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<input type="hidden" name="sFDCLastCampaignStatus" value="Optional" id="fe353239" data-lookup="">
<input type="hidden" name="leadSourceMostRecent1" value="website" id="fe353240" data-lookup="">
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<div style="display: block;">
<fieldset>
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<div class="MMM--eloquaForm-container">
<ul class="MMM--blockFormList" style="display:block;">
<li>
<p class="MMM--txt_italic">All fields are required unless indicated optional</p>
</li>
<li class="MMM--formCode">
<!-- do not remove the below field -->
<label for="resolence_morthy_gread" class="MMM--formCode" aria-hidden="true">Resolence Morthy Gread <input name="resolence_morthy_gread" class="MMM--formCode" type="text" value="" autocomplete="off" aria-hidden="true"></label>
</li>
<li>
<label>
<h2 class="MMM--hdg MMM--hdg_2 mix-MMM--hdg_spaced">Your Profile and Contact Information</h2>
</label>
</li>
<li>
<label for="fe353219" class="MMM--blockLabel">Business Email Address</label>
<input type="email" id="fe353219" name="emailAddress" class="MMM--textInput MMM--defaultFields" data-rule-email="true" data-msg-email="Email address is not the correct format" data-rule-required="true"
data-msg-required="Enter your email address" aria-required="true" data-lookup="C_EmailAddress">
</li>
<li>
<label for="fe353220" class="MMM--blockLabel">First Name</label>
<input type="text" id="fe353220" name="firstName" class="MMM--textInput MMM--defaultFields js-formElement_c" data-rule-required="true" data-msg-required="Enter your first name" aria-required="true" data-lookup="C_FirstName">
</li>
<li>
<label for="fe353221" class="MMM--blockLabel">Last Name</label>
<input type="text" id="fe353221" name="lastName" class="MMM--textInput MMM--defaultFields js-formElement_c" data-rule-required="true" data-msg-required="Enter your last name" aria-required="true" data-lookup="C_LastName">
</li>
<li>
<label for="fe353222" class="MMM--blockLabel">Job Role</label>
<div class="MMM--fancyDropDiv js-fancyDropDiv">
<div id="js-fancyDropdown_772812168" class="MMM--fancyDropDiv">
<div class="js-fancyDropAnchor MMM--fancyDropAnchor"><span class="MMM--fancyDropLabel fancytxtTrncte">Select One</span>
<div class="msdsArrow MMM--icn MMM--icn_arrowDown MMM--icn_arrowUp"></div>
</div><select name="jobRole1" id="fe353222" class="js-fancyDropDown MMM--selectInput fancyDropDownLoaded MMM--isHiddenOverlay js-formElement_c" data-rule-required="true" data-msg-required="Enter your role" aria-required="true"
data-lookup="C_Job_Role1" data-id="js-fancyDropdown_772812168">
<option value="" selected="selected" disabled="disabled">Select One</option>
<option value="Physician">Physician</option>
<option value="Physician Assistant">Physician Assistant</option>
<option value="Surgeon">Surgeon</option>
<option value="Nursing">Nurse</option>
<option value="Infection Control">Infection Preventionist</option>
<option value="Central Sterile Processing">Central Sterile Processing</option>
<option value="Purchasing">Purchasing Manager</option>
<option value="Patient">Patient</option>
<option value="Student">Student</option>
<option value="Administration">Administration</option>
<option value="Physical Therapist">Physical Therapist</option>
<option value="Podiatrist">Podiatrist</option>
</select>
</div>
</div>
</li>
<li>
<label for="fe353223" class="MMM--blockLabel">Country/Region</label>
<div class="MMM--fancyDropDiv js-fancyDropDiv">
<div id="js-fancyDropdown_832095707" class="MMM--fancyDropDiv">
<div class="js-fancyDropAnchor MMM--fancyDropAnchor"><span class="MMM--fancyDropLabel fancytxtTrncte">Select One</span>
<div class="msdsArrow MMM--icn MMM--icn_arrowDown MMM--icn_arrowUp"></div>
</div><select name="country" id="fe353223" class="js-fancyDropDown MMM--selectInput fancyDropDownLoaded MMM--isHiddenOverlay js-formElement_c" data-rule-required="true" data-msg-required="Enter your country/region"
aria-required="true" data-lookup="C_Country" data-id="js-fancyDropdown_832095707">
<option value="" selected="selected" disabled="disabled">Select One</option>
<option value="Afghanistan">Afghanistan</option>
<option value="Aland Islands">Aland Islands</option>
<option value="Albania">Albania</option>
<option value="Algeria">Algeria</option>
<option value="Andorra">Andorra</option>
<option value="Angola">Angola</option>
<option value="Anguilla">Anguilla</option>
<option value="Antarctica">Antarctica</option>
<option value="Antigua and Barbuda">Antigua and Barbuda</option>
<option value="Argentina">Argentina</option>
<option value="Armenia">Armenia</option>
<option value="Aruba">Aruba</option>
<option value="Australia">Australia</option>
<option value="Austria">Austria</option>
<option value="Azerbaijan">Azerbaijan</option>
<option value="Bahamas">Bahamas</option>
<option value="Bahrain">Bahrain</option>
<option value="Bangladesh">Bangladesh</option>
<option value="Barbados">Barbados</option>
<option value="Belgium">Belgium</option>
<option value="Belize">Belize</option>
<option value="Benin">Benin</option>
<option value="Bermuda">Bermuda</option>
<option value="Bhutan">Bhutan</option>
<option value="Bolivia">Bolivia</option>
<option value="Bonaire, Sint Eustatius and Saba">Bonaire, Sint Eustatius and Saba</option>
<option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
<option value="Botswana">Botswana</option>
<option value="Bouvet Island">Bouvet Island</option>
<option value="Brazil">Brazil</option>
<option value="British Indian Ocean Territory">British Indian Ocean Territory</option>
<option value="Brunei Darussalam">Brunei Darussalam</option>
<option value="Bulgaria">Bulgaria</option>
<option value="Burkina Faso">Burkina Faso</option>
<option value="Burundi">Burundi</option>
<option value="Cambodia">Cambodia</option>
<option value="Cameroon">Cameroon</option>
<option value="Canada">Canada</option>
<option value="Cape Verde">Cape Verde</option>
<option value="Cayman Islands">Cayman Islands</option>
<option value="Central African Republic">Central African Republic</option>
<option value="Chad">Chad</option>
<option value="Chile">Chile</option>
<option value="China">China</option>
<option value="Christmas Island">Christmas Island</option>
<option value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option>
<option value="Colombia">Colombia</option>
<option value="Comoros">Comoros</option>
<option value="Congo">Congo</option>
<option value="Congo, the Democratic Republic of the">Congo, the Democratic Republic of the</option>
<option value="Cook Islands">Cook Islands</option>
<option value="Costa Rica">Costa Rica</option>
<option value="Croatia">Croatia</option>
<option value="Curaçao">Curaçao</option>
<option value="Cyprus">Cyprus</option>
<option value="Czech Republic">Czech Republic</option>
<option value="Denmark">Denmark</option>
<option value="Djibouti">Djibouti</option>
<option value="Dominica">Dominica</option>
<option value="Dominican Republic">Dominican Republic</option>
<option value="Dutch Antilles">Dutch Antilles</option>
<option value="Ecuador">Ecuador</option>
<option value="Egypt">Egypt</option>
<option value="El Salvador">El Salvador</option>
<option value="Equatorial Guinea">Equatorial Guinea</option>
<option value="Eritrea">Eritrea</option>
<option value="Estonia">Estonia</option>
<option value="Ethiopia">Ethiopia</option>
<option value="Falkland Islands (Malvinas)">Falkland Islands (Malvinas)</option>
<option value="Faroe Islands">Faroe Islands</option>
<option value="Fiji">Fiji</option>
<option value="Finland">Finland</option>
<option value="France">France</option>
<option value="French Guiana">French Guiana</option>
<option value="French Polynesia">French Polynesia</option>
<option value="French Southern Territories">French Southern Territories</option>
<option value="Gabon">Gabon</option>
<option value="Gambia">Gambia</option>
<option value="Georgia">Georgia</option>
<option value="Germany">Germany</option>
<option value="Ghana">Ghana</option>
<option value="Gibraltar">Gibraltar</option>
<option value="Greece">Greece</option>
<option value="Greenland">Greenland</option>
<option value="Grenada">Grenada</option>
<option value="Guadeloupe">Guadeloupe</option>
<option value="Guam">Guam</option>
<option value="Guatemala">Guatemala</option>
<option value="Guernsey">Guernsey</option>
<option value="Guinea">Guinea</option>
<option value="Guinea-Bissau">Guinea-Bissau</option>
<option value="Guyana">Guyana</option>
<option value="Haiti">Haiti</option>
<option value="Heard Island and McDonald Islands">Heard Island and McDonald Islands</option>
<option value="Holy See (Vatican City State)">Holy See (Vatican City State)</option>
<option value="Honduras">Honduras</option>
<option value="Hong Kong">Hong Kong</option>
<option value="Hungary">Hungary</option>
<option value="Iceland">Iceland</option>
<option value="India">India</option>
<option value="Indonesia">Indonesia</option>
<option value="Iraq">Iraq</option>
<option value="Ireland">Ireland</option>
<option value="Isle of Man">Isle of Man</option>
<option value="Israel">Israel</option>
<option value="Italy">Italy</option>
<option value="Ivory Coast">Ivory Coast</option>
<option value="Jamaica">Jamaica</option>
<option value="Japan">Japan</option>
<option value="Jersey">Jersey</option>
<option value="Jordan">Jordan</option>
<option value="Kazakhstan">Kazakhstan</option>
<option value="Kenya">Kenya</option>
<option value="Kiribati">Kiribati</option>
<option value="Korea - Republic of">Korea - Republic of</option>
<option value="Kosovo">Kosovo</option>
<option value="Kuwait">Kuwait</option>
<option value="Kyrgyzstan">Kyrgyzstan</option>
<option value="Lao People's Democratic Republic">Lao People's Democratic Republic</option>
<option value="Latvia">Latvia</option>
<option value="Lebanon">Lebanon</option>
<option value="Lesotho">Lesotho</option>
<option value="Liberia">Liberia</option>
<option value="Libyan Arab Jamahiriya">Libyan Arab Jamahiriya</option>
<option value="Liechtenstein">Liechtenstein</option>
<option value="Lithuania">Lithuania</option>
<option value="Luxembourg">Luxembourg</option>
<option value="Macao">Macao</option>
<option value="Macedonia, the former Yugoslav Republic of">Macedonia, the former Yugoslav Republic of</option>
<option value="Madagascar">Madagascar</option>
<option value="Malawi">Malawi</option>
<option value="Malaysia">Malaysia</option>
<option value="Maldives">Maldives</option>
<option value="Mali">Mali</option>
<option value="Malta">Malta</option>
<option value="Marshall Islands">Marshall Islands</option>
<option value="Martinique">Martinique</option>
<option value="Mauritania">Mauritania</option>
<option value="Mauritius">Mauritius</option>
<option value="Mayotte">Mayotte</option>
<option value="Mexico">Mexico</option>
<option value="Micronesia">Micronesia</option>
<option value="Moldova, Republic of">Moldova, Republic of</option>
<option value="Monaco">Monaco</option>
<option value="Mongolia">Mongolia</option>
<option value="Montenegro">Montenegro</option>
<option value="Montserrat">Montserrat</option>
<option value="Morocco">Morocco</option>
<option value="Mozambique">Mozambique</option>
<option value="Myanmar">Myanmar</option>
<option value="Namibia">Namibia</option>
<option value="Nauru">Nauru</option>
<option value="Nepal">Nepal</option>
<option value="Netherlands">Netherlands</option>
<option value="New Caledonia">New Caledonia</option>
<option value="New Zealand">New Zealand</option>
<option value="Nicaragua">Nicaragua</option>
<option value="Niger">Niger</option>
<option value="Nigeria">Nigeria</option>
<option value="Niue">Niue</option>
<option value="Norfolk Island">Norfolk Island</option>
<option value="Northern Mariana Islands">Northern Mariana Islands</option>
<option value="Norway">Norway</option>
<option value="Oman">Oman</option>
<option value="Pakistan">Pakistan</option>
<option value="Palau">Palau</option>
<option value="Palestine">Palestine</option>
<option value="Panama">Panama</option>
<option value="Papua New Guinea">Papua New Guinea</option>
<option value="Paraguay">Paraguay</option>
<option value="Peru">Peru</option>
<option value="Philippines">Philippines</option>
<option value="Pitcairn">Pitcairn</option>
<option value="Poland">Poland</option>
<option value="Portugal">Portugal</option>
<option value="Puerto Rico">Puerto Rico</option>
<option value="Qatar">Qatar</option>
<option value="Reunion">Reunion</option>
<option value="Romania">Romania</option>
<option value="Rwanda">Rwanda</option>
<option value="Saint Barthélemy">Saint Barthélemy</option>
<option value="Saint Helena, Ascension and Tristan da Cunha">Saint Helena, Ascension and Tristan da Cunha</option>
<option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
<option value="Saint Lucia">Saint Lucia</option>
<option value="Saint Martin">Saint Martin</option>
<option value="Saint Pierre and Miquelon">Saint Pierre and Miquelon</option>
<option value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option>
<option value="Samoa">Samoa</option>
<option value="Samoa, American">Samoa, American</option>
<option value="San Marino">San Marino</option>
<option value="Sao Tome and Principe">Sao Tome and Principe</option>
<option value="Saudi Arabia">Saudi Arabia</option>
<option value="Senegal">Senegal</option>
<option value="Serbia">Serbia</option>
<option value="Seychelles">Seychelles</option>
<option value="Sierra Leone">Sierra Leone</option>
<option value="Singapore">Singapore</option>
<option value="Sint Maarten">Sint Maarten</option>
<option value="Slovakia">Slovakia</option>
<option value="Slovenia">Slovenia</option>
<option value="Solomon Islands">Solomon Islands</option>
<option value="Somalia">Somalia</option>
<option value="South Africa">South Africa</option>
<option value="South Georgia and the South Sandwich Islands">South Georgia and the South Sandwich Islands</option>
<option value="South Sudan">South Sudan</option>
<option value="Spain">Spain</option>
<option value="Sri Lanka">Sri Lanka</option>
<option value="Sudan">Sudan</option>
<option value="Suriname">Suriname</option>
<option value="Svalbard and Jan Mayen">Svalbard and Jan Mayen</option>
<option value="Swaziland">Swaziland</option>
<option value="Sweden">Sweden</option>
<option value="Switzerland">Switzerland</option>
<option value="Taiwan">Taiwan</option>
<option value="Tajikistan">Tajikistan</option>
<option value="Tanzania, United Republic of">Tanzania, United Republic of</option>
<option value="Thailand">Thailand</option>
<option value="Timor-Leste">Timor-Leste</option>
<option value="Togo">Togo</option>
<option value="Tokelau">Tokelau</option>
<option value="Tonga">Tonga</option>
<option value="Trinidad and Tobago">Trinidad and Tobago</option>
<option value="Tunisia">Tunisia</option>
<option value="Turkey">Turkey</option>
<option value="Turkmenistan">Turkmenistan</option>
<option value="Turks and Caicos Islands">Turks and Caicos Islands</option>
<option value="Tuvalu">Tuvalu</option>
<option value="Uganda">Uganda</option>
<option value="Ukraine">Ukraine</option>
<option value="United Arab Emirates">United Arab Emirates</option>
<option value="United Kingdom">United Kingdom</option>
<option value="United States">United States</option>
<option value="United States Minor Outlying Islands">United States Minor Outlying Islands</option>
<option value="Uruguay">Uruguay</option>
<option value="Uzbekistan">Uzbekistan</option>
<option value="Vanuatu">Vanuatu</option>
<option value="Venezuela">Venezuela</option>
<option value="Vietnam">Vietnam</option>
<option value="Virgin Islands, British">Virgin Islands, British</option>
<option value="Virgin Islands, US">Virgin Islands, US</option>
<option value="Wallis and Futuna">Wallis and Futuna</option>
<option value="Western Sahara">Western Sahara</option>
<option value="Yemen">Yemen</option>
<option value="Zambia">Zambia</option>
<option value="Zimbabwe">Zimbabwe</option>
</select>
</div>
</div>
</li>
<li>
<label>
<h2 class="MMM--hdg MMM--hdg_2 mix-MMM--hdg_spaced">What Information Would You Like to See?</h2>
</label>
</li>
<li>
<label class="MMM--blockLabel MMM--checkboxLabel"> Select the topics of most interest to you. </label>
</li>
<script type="text/javascript">
domReady.JSAJ3 = function() {
function checktest() {
if ($("#field14").is(':checked')) {
$('#other').removeClass('MMM--isVisuallyHidden');
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<li>
<input type="checkbox" name="singleCheckbox" id="field8" value="on"> <label for="field8" class="MMM--blockLabel MMM--checkboxLabel" style="font-weight:normal;display:inline;">Illustrations/examples of techniques for using
respirators</label>
</li>
<li>
<input type="checkbox" name="singleCheckbox2" id="field9" value="on"> <label for="field9" class="MMM--blockLabel MMM--checkboxLabel" style="font-weight:normal;display:inline;">Protecting skin from the impact of PPE</label>
</li>
<li>
<input type="checkbox" name="singleCheckbox3" id="field10" value="on"> <label for="field10" class="MMM--blockLabel MMM--checkboxLabel" style="font-weight:normal;display:inline;">Reducing or preventing cross-contamination in my
facility</label>
</li>
<li>
<input type="checkbox" name="singleCheckbox4" id="field11" value="on"> <label for="field11" class="MMM--blockLabel MMM--checkboxLabel" style="font-weight:normal;display:inline;">Sterilization and cleaning monitoring</label>
</li>
<li>
<input type="checkbox" name="singleCheckbox5" id="field12" value="on"> <label for="field12" class="MMM--blockLabel MMM--checkboxLabel" style="font-weight:normal;display:inline;">Reducing the risk of secondary complications</label>
</li>
<li>
<input type="checkbox" name="singleCheckbox6" id="field13" value="on"> <label for="field13" class="MMM--blockLabel MMM--checkboxLabel" style="font-weight:normal;display:inline;">More FAQs (see below to give us your question)</label>
</li>
<li>
<input type="checkbox" name="singleCheckbox7" id="field14" value="on"> <label for="field14" class="MMM--blockLabel MMM--checkboxLabel" style="font-weight:normal;display:inline;">Other</label>
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<li class="MMM--isVisuallyHidden" id="other">
<label for="singleLineText" class="MMM--blockLabel">If other, please provide topics you're interested in</label>
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</li>
<li>
<label for="fe353232" class="MMM--blockLabel">What other questions would you like to see addressed?</label>
<input type="text" id="fe353232" name="singleLineText2" class="MMM--textInput MMM--defaultFields" data-rule-required="" data-msg-required="" aria-required="true" data-lookup="">
</li>
<li>
<input type="checkbox" name="optin" id="field17" value="on"> <label for="field17" class="MMM--blockLabel MMM--checkboxLabel" style="font-weight:normal;display:inline;">Subscribe to receive the latest education, news, promotions, and
product information from 3M.</label>
</li>
<li>
<div class="MMM--gapTopMed">
<p>3M takes your privacy seriously. 3M and its authorized third parties will use the information you provided in accordance with our <a href="https://www.3m.com/3M/en_US/company-us/privacy-policy/" target="_self">Privacy Policy</a> to
send you communications which may include promotions, product information and service offers. Please be aware that this information may be stored on a server located in the U.S. If you do not consent to this use of your personal
information, please do not use this system.</p>
</div>
</li>
<li> <a type="submit" class="MMM--btn MMM-submit mix-MMM--btn_fullWidthMobileOnly MMM--submitButton mix-MMM--btn_allCaps unicornButtonActive" role="button" tabindex="0" target="_self" data-color="rgb(255, 255, 255)">Submit</a> <img
src="https://www.3m.com/3m_theme_assets/themes/3MTheme/assets/images/compressed/lazy-preloader-clear_bak.gif" class="MMM--isVisuallyHidden MMM--rU-04-ajaxLoader js-frmSpinner" alt=""></li>
</ul>
</div>
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</fieldset>
</div>
<input type="hidden" name="elqCustomerGUID" value=""><input type="hidden" name="elqCookieWrite" value="0"><input type="hidden" name="leadSourcePageTitleMostRecent1">
</form>/3M/en_US/p/
<form class="h-fitHeight" id="typeahead-root" action="/3M/en_US/p/"><input id="js-searchBar" class="m-header_searchbar h-fitWidth h-fitHeight l-centerVertically is-searchbar" name="Ntt" type="search" placeholder="Search" aria-label="Search"
autocomplete="off"><button class="m-header_searchbutton" type="submit" value="Search" disabled=""><i class="MMM--icn MMM--icn_search color--white"></i></button></form><form>
<div class="font--standard m-navbar_popupOptions"><input type="radio" name="locale" value="https://www.3m.com/3M/en_US/medical-us/" id="locale-us-en" class="m-radioInput" checked="">
<label class="m-radioInput_label" for="locale-us-en">English - EN</label><br>
</div>
<a href="/3M/en_US/select-location/" class="link" target="_self">Change 3M Location</a>
<button type="submit" value="Submit" class="m-btn m-btn--red m-navbar_localeSave is-saveLocale">Save</button>
</form>Text Content
Close
* All fields are required unless indicated optional
* Resolence Morthy Gread
* YOUR PROFILE AND CONTACT INFORMATION
* Business Email Address
* First Name
* Last Name
* Job Role
Select One
Select OnePhysicianPhysician AssistantSurgeonNurseInfection
PreventionistCentral Sterile ProcessingPurchasing
ManagerPatientStudentAdministrationPhysical TherapistPodiatrist
* Country/Region
Select One
Select OneAfghanistanAland
IslandsAlbaniaAlgeriaAndorraAngolaAnguillaAntarcticaAntigua and
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