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3M Respiratory Insight Council

3M Respiratory Insight Council

Thank you for your interest in joining the 3M Respiratory Insight Council, a select group of thought leaders and engaged safety professionals. This brief qualifying questionnaire helps ensure that the 3M Respiratory Insight Council is a valuable space for both 3M and you.

This short form should take you less than 5 minutes" to complete. Upon completion and qualification you will be provided with instructions to obtain secure log-in information to begin participating in market research!

You may opt out at any time. All information will remain confidential and will be used solely for the purposes of this council. 3M's privacy policy can be found at

Required fields are indicated by an asterisk (*).

Please enter your company licensed email domain; a non-company sponsored email will not be accepted. *


Specify / Select / Purchase
Both use and specify

Less than 4 hours
4-8 hours
8 or more hours per week

* (Please check all that apply)
Disposable respirators (for example: filtering facepiece, particulate respirator, N95)
Half Mask or Full Face Respirators (with disposable cartridges, sometimes called re-usable, or negative pressure respirators)
Powered Air Purifying Respirators (PAPR systems, Welding Respiratory Systems)
Supplied Air Respirators (SAR Systems)
SCBA (Self Contained Breathing Apparatus)
EEBA (Emergency Escape Breathing Apparatus)
None of these


Thank you for your interest, but at this time you do not qualify to be a part of the 3M Respiratory Insight Council.

Congratulations, you have been invited to join the 3M Respiratory Insight Council, please review the participant agreement below for acceptance. Please accept terms, sign and date the fields noted to participate.

Once registered, for a limited time we are offering an Amazon Gift Card incentive for completing the “Starter Survey”. Amazon gift cards available while supplies last.

Participant Agreement

You have been invited, and have agreed, to participate in sessions conducted by 3M Company and its affiliates (“3M”). You agree as follows:

  1. I represent and warrant that I am aware of no legal reason that I cannot enter into this agreement (including, but not limited to, contractual employment obligations, confidentiality restrictions with other parties, government or regulatory requirements, or any other contractual, legal, regulatory, or ethical requirements or conflicts of interest). If any legal reason arises to make this statement untrue, I will promptly notify 3M.
  2. I represent and warrant that I do not, nor does any member of my immediate family, work for a manufacturer or distributor of personal protective equipment. 2. I will be provided various incentives for my participation in each discussion or event ("Discussion") and agree to the remainder of the Agreement's terms in consideration of those incentives. I represent and warrant that I am aware of no reason (such as those listed in paragraph 1) preventing me from accepting such incentives and if any arises, I will promptly notify 3M.
  3. During the discussions or events, I will freely provide comments, answers, suggestions, and ideas regarding the subject matter of the Discussion (“Discussion Input”). 3M owns all rights and interests in, and all title to, the Discussion and Discussion Input. I hereby: (a) assign to 3M all my right and interest in, and all my title to, Discussion Input; and (b) agree to assist 3M in the execution of all documents, and doing such other acts, at 3M’s expense, as may be reasonably required for 3M to file any worldwide patent applications and establish 3M’s rights and interests in, and title to, the Discussion Input.
  4. I will maintain in confidence any information related to the discussion or event content that is disclosed to me by 3M, any other participant, or any other party, including, without limitation, all topics raised by anyone during the Discussion, and all business and technical information, such as product ideas and samples (the “Confidential Information”). I will not disclose any Confidential Information to any person or entity. I will assist 3M in protecting all Confidential Information against any unauthorized disclosure.
  5. I will treat as Confidential Information (and not disclose to others) any materials or information related to the Discussions or events, including any notes or other records that I or any other participant made during Discussions. After the Discussions conclude, I will not reveal to, or discuss with, anyone other than 3M any Confidential Information, including any notes or comments.
  6. I will use all Confidential Information only for the purpose of the Discussions, and not for my own benefit or the benefit of any third party. I will not print, duplicate or otherwise reproduce any Confidential Information in any manner or form.
  7. I understand that I am acting as an unpaid independent contractor / consultant, and that I (a) am not an agent able to legally bind 3M; and (b) in no way have any right or authority to enter into any arrangement on behalf of or incur any obligation for 3M.
  8. This Agreement will terminate upon the first to occur of: (1) my giving notice that I am opting out of participation in these sessions, which I may do at any time and for any reason, with immediate effect; (2) 3M providing notice of termination at any time for any reason (or no reason), with immediate effect; and (3) the end of any calendar year, provided that I have not participated in the sessions for more than 6 months.
  9. I will not hold 3M responsible for any problems or malfunctions (substantive or technical) associated with participation in activities outlines in this agreement, and will hold 3M and its personnel harmless from any and all liability, damage, cost or expense which may occur in connection with that participation. I also consent to the 3M privacy policy (, which allows for the collection and use of electronic or forensic data (including but not limited to registration information, log-in information, page views, and program activity) at 3M's sole discretion.
  10. I understand that my obligations under paragraphs 3-6 above will survive any expiration or termination of this Agreement.

    * (Month/Day/Year) 

We will only use this information to respond to your request and as further described in our Privacy Policy.

Need Help?

If you have questions or want more information, please contact us.