* Indicates required field* Name
* Company
* E-Mail
Phone
* 1.1 To what extent has your company measured and taken steps to reduce its green house gas emissions?
0 ... none to very little activity
1 ... under consideration
2 ... to some extent
3 ... to a great extent
Please select an option * 1.2 To what extent does your company have an energy reduction goal and track the reduction of energy in its facilities?
0 ... none to very little activity
1 ... under consideration
2 ... to some extent
3 ... to a great extent
Please select an option * 1.3 To what extent are electrical, mechanical and lighting fixtures chosen for energy efficiency?
0 ... none to very little activity
1 ... under consideration
2 ... to some extent
3 ... to a great extent
Please select an option * 1.4 To what extent does your company use energy efficient motors, compressors or pumps?
0 ... none to very little activity
1 ... under consideration
2 ... to some extent
3 ... to a great extent
Please select an option * 1.5 To what extent has your company conducted an energy audit in the last year?
0 ... none to very little activity
1 ... under consideration
2 ... to some extent
3 ... to a great extent
Please select an option * 2.1 To what extent has your company developed a formal plan to identify, improve and/or redesign processes or procedures in order to maximize material efficiences and reduce waste?
0 ... none to very little activity
1 ... under consideration
2 ... to some extent
3 ... to a great extent
Please select an option * 2.2 To what extent does your company require and/or promote recycling throughout the operation?
0 ... none to very little activity
1 ... under consideration
2 ... to some extent
3 ... to a great extent
Please select an option * 2.3 To what extent does your company set goals and track the reduction of its waste?
0 ... none to very little activity
1 ... under consideration
2 ... to some extent
3 ... to a great extent
Please select an option * 2.4 To what extent does your company evaluate maintenance performance and adjust preventative maintenance activities accordingly?
0 ... none to very little activity
1 ... under consideration
2 ... to some extent
3 ... to a great extent
Please select an option * 2.5 To what extent has your company encouraged practices that reduce or eliminate paper usage?
0 ... none to very little activity
1 ... under consideration
2 ... to some extent
3 ... to a great extent
Please select an option * 2.6 To what extent has your company substituted less toxic chemicals/materials to reduce pollution and employee exposure?
0 ... none to very little activity
1 ... under consideration
2 ... to some extent
3 ... to a great extent
Please select an option * 2.7 To what extent does your company know what is being disposed of in the dumpsters on a regular basis?
0 ... none to very little activity
1 ... under consideration
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3 ... to a great extent
Please select an option * 2.8 To what exent has your company reduced packaging wastes?
0 ... none to very little activity
1 ... under consideration
2 ... to some extent
3 ... to a great extent
Please select an option * 2.9 To what extent is your company minimizing solid waste streams?
0 ... none to very little activity
1 ... under consideration
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3 ... to a great extent
Please select an option * 2.10 To what extent has your company set water reduction goals or conservation efforts?
0 ... none to very little activity
1 ... under consideration
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3 ... to a great extent
Please select an option * 3.1 To what extent does the product concept process consider sustainability acquired, renewable or recycled materials?
0 ... none to very little activity
1 ... under consideration
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3 ... to a great extent
Please select an option * 3.2 To what extent is a minimum of packaging or recylcing of packaging considered in the design process?
0 ... none to very little activity
1 ... under consideration
2 ... to some extent
3 ... to a great extent
Please select an option * 3.3 To what extent are products designed for disassembly to facilitate remanufacture or reuse of parts?
0 ... none to very little activity
1 ... under consideration
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3 ... to a great extent
Please select an option * 3.4 To what extent are the product life cycles, cradle-to-cradle, considered in the design of all products?
0 ... none to very little activity
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Please select an option * 3.5 To what extent does your company involve suppliers in the design and engineering process to consider the acquisition of sustainable raw materials and vendor parts?
0 ... none to very little activity
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3 ... to a great extent
Please select an option * 4.1 To what extent has your company sought to work with customers, suppliers or vendors on ways to minimize waste and prevent pollution?
0 ... none to very little activity
1 ... under consideration
2 ... to some extent
3 ... to a great extent
Please select an option * 4.2 To what extent does your company ask suppliers or vendors about their environmental performance?
0 ... none to very little activity
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3 ... to a great extent
Please select an option * 4.3 To what extent does your company give preference to suppliers who have demonstrated superior environmental performance?
0 ... none to very little activity
1 ... under consideration
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3 ... to a great extent
Please select an option * 4.4 To what extent has your company worked with the supply chain to reduce greenhouse gas emissions?
0 ... none to very little activity
1 ... under consideration
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3 ... to a great extent
Please select an option * 4.5 To what extent does your company evaluate the quality of production and capacity for production before beginning a business relationship with a supplier?
0 ... none to very little activity
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3 ... to a great extent
Please select an option * 5.1 To what extent does your company seek to minimize fuel use in the delivery of its products and/or services?
0 ... none to very little activity
1 ... under consideration
2 ... to some extent
3 ... to a great extent
Please select an option * 5.2 To what extent does internal distribution seek to minimize the multiple handling and repackaging of product prior to shipment?
0 ... none to very little activity
1 ... under consideration
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Please select an option * 5.3 To what extent does your company use returnable packaging?
0 ... none to very little activity
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3 ... to a great extent
Please select an option * 5.4 To what extent does your company look to reduce greenhouse gas emissions from employee commuting, e.g., telecommuting, four day work weeks and business travel, e.g., webinars and teleconferences?
0 ... none to very little activity
1 ... under consideration
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Please select an option * 6.1 To what extent does your company have a formal written sustainability/green policy that commits it to continuous improvement and lessening its impact on the environment?
0 ... none to very little activity
1 ... under consideration
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Please select an option * 6.2 To what extent are employees at all levels educated and trained regarding key syustainability efforts?
0 ... none to very little activity
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Please select an option * 6.3 To what extent does your company have an empowered Green Team?
0 ... none to very little activity
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Please select an option * 6.4 To what extent are employees, departments, managers evaluated on their contribution to green efforts?
0 ... none to very little activity
1 ... under consideration
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Please select an option * 6.5 To what extent does management recognize and reward those leading and supporting the change to a sustainable/green business?
0 ... none to very little activity
1 ... under consideration
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Please select an option