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2012
March
E
example EV
example EV
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1. Hello:
You are invited to participate in our survey [Project Description Here]. In this survey, approximately [Approximate Respondents] people will be asked to complete a survey that asks questions about [General Survey Process]. It will take approximately [Approximate Time] minutes to complete the questionnaire.
Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.
Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact [Name of Survey Researcher] at [Phone Number] or by email at the email address specified below.
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I Agree
2. On which topic your company has a CSR manager
No person in charge of CSR issues
ENV
LAB
FBP
SUP
Other
3. In previous question
Q2
, your company claims having CSR managers on
ENV
and
LAB
topics, could you please give their name and function?
NAME
FUNCTION
ENV
LAB
4. Providing to customers products with eco-label
Organic agriculture
Biodynamic agriculture
Fair trade
Sustainable Agriculture Standard (Rainforest alliance)
Protected Harvest
Global GAP (Good Agricultural Practices) products
Regional/National certification schemes
(e.g. Food Alliance Certification for producers)
No product with an ecolabel
Not applicable
Not Monitored
Do not know
Other
5. In the question
Q4
, your company claims providing products with Ecolabel (
Organic agriculture
,
Fair trade
,
Sustainable Agriculture Standard
), could you please precise the percentage?
0-1%
1-20%
21-40%
41-60%
61-80%
81-100%
Organic agriculture
Fair trade
Sustainable Agriculture Standard
6. Your company's energy consumption (year n-1)
-- Select --
kWh/unit of product
kWh/month
kWh/year
GWh/unit of product
GWh/month
GWh/year
Joule..
..
Not monitored
Do not know
7. On which topics does your company publish a report (e.g. Corporate Social Responsibility report) ?
No report
Environment and Customer safety
Labor Practices
Human Rights
Fair Business Practices (e.g. corruption issues)
Sustainable Procurement
Other
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