GardaWorld Employee Smoke or Vape Survey

1
Are you a current or former employee of GardaWorld?* This field is required.
Yes
No
2
If former, did you work for GardaWorld sometime within the past 6 years?* This field is required.
Yes
No
3
While working for GardaWorld, did you smoke or vape?* This field is required.
Yes
No
4
Did you get health insurance through GardaWorld when you worked there?* This field is required.
Yes
No
5
Thank you! It appears that you may qualify for compensation! Jen Malainy and her team would like to speak to you! Please complete the following contact information and look out for a phone call and text from a 440 area code number soon!
6
Sorry! Based on your responses, it appears you do not qualify for compensation. Check out other class actions you may qualify for by visiting www.joinclassaction.com today!
7
What is your first and last name?* This field is required.
First Name
Last Name
8
What is your email?* This field is required.
example@example.com
9
What is your phone number?* This field is required.
Please enter a valid phone number.
10
Your City* This field is required.
11
Your state:* This field is required.
Please Select
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
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Hawaii
Idaho
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Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
12
Please verify that you are human* This field is required.
Should be Empty: