Please complete the following 18 questions on behalf of your organization as a whole. The scoring provides an opportunity for you to indicate your perception of the Importance of each issue to your organization as well as the current Status of your organization's preparedness. This will enable a more accurate assessment of how your organization should prioritize its pandemic readiness efforts. A priority rating will then be assigned after you have entered your Importance and Status scoring.
First, please tell us a little about yourself and your business.
Fields marked with an asterisk (*) are mandatory.
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Industry sector*
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Check here if you have business operations or suppliers in Mexico or other area with confirmed H1N1 cases.
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Approximate number of employees worldwide
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Approximate number of offices worldwide
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Salutation:
Last Name*:
First Name*:
Middle Name:
Position*:
Company/Organization*:
Contact telephone:
Email address*:
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Postal/Street Address:
City*:
Country*:
State:
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By submitting your e-mail address, you acknowledge that you have read the Marsh/MMC Privacy Statement
Yes, I have read the Privacy Statement *
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Please check the box(es) which best describe you*:
(You may check more than one box)
Client
Prospective client
Individual seeking insurance services
Reporter / Analyst
Other (please specify)
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