3M Combat Earplug Lawsuit Questionnaire

Have you served in the US Military between 2003 and 2015?

If Yes, which years?

If Yes, which branch of the Military did you serve in?

Did you serve in a combat zone between the years 2003 and 2015?

If Yes, please select from the following regions

Did you use 3M's Dual Ended Combat Arms earplugs during military service?

Have you been diagnosed by a medical professional with hearing loss or tinnitus?

Full Name

Telephone Number

Address

Time Zone

Email Address

Preferred Contact Method

What is the best time to reach you?