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  • Contact information

    Not you?
    Double check you entered the correct ID on the previous screen. If you are having issues with your account, please contact your HR representative or supervisor.
    Not you?
    Double check you entered the correct ID on the previous screen. If you are having issues with your account, please contact your HR representative or supervisor.
  • Location information

  • 1. Have you tested positive for COVID-19 in the past 10 days?

  • 2. Have you been in close contact in the past 10 days with anyone who has tested positive or was clinically diagnosed with COVID-19?

  • 3. Have you experienced any of the following symptoms in the past 10 days?

    • Fever or chills
    • Cough
    • Fatigue
    • Muscle or body aches
    • Headache
    • New loss of taste or smell
    • Sore throat
    • Congestion or runny nose
    • Nausea or vomiting
    • Diarrhea
    • Shortness of breath or difficulty breathing
  • How do you answer the above questions? Click your answer below.

    • Approved for Entry  
    • Entry Denied  
  • The information you provide on this form will be used to make and record facility entrance decisions in accordance with applicable screening guidelines. It will be kept confidential according to the applicable law and 3M Policies.

    Please be aware that this information (including the original and the subsequent reply) may be transferred to a server located in the U.S. for metrics and storage. If you do not consent to this use of your personal information, please do not use this system.

  • Submit

Approved for Entry

You may now enter the building.

Thank You for completing the COVID-19 Screening Questionnaire.

Entry Denied

You may NOT enter the building.


  • If you are a 3M employee, please notify your supervisor immediately that you are not permitted to enter the facility. In addition, contact the onsite Occupational Health Nurse/Disease Prevention Coordinator for guidance.
  • If you are a NOT a 3M employee (contractor, visitor, contingent worker, etc.) contact your employer and seek medical attention. Notify your 3M contact/host that you cannot enter the facility.
Thank You for completing the COVID-19 Screening Questionnaire.

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If you continue to receive this error, please contact the 3M IT Helpdesk.

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