Sustainability Index System Evaluation Checklist
Complete this checklist to assess and document sustainability practices within your organization or project.
Organization/Project Name
*
Evaluator's Full Name
*
First Name
Last Name
Evaluator's Email Address
*
example@example.com
Date of Evaluation
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Type of Entity Being Evaluated
*
Please Select
Business/Company
Nonprofit Organization
Government Agency
Educational Institution
Project/Program
Other
Please rate the following aspects of your sustainability practices:
*
Rows
Not Implemented
Partially Implemented
Fully Implemented
Energy Efficiency Measures
1
2
3
Water Conservation Practices
4
5
6
Waste Management & Recycling
7
8
9
Sustainable Procurement
10
11
12
Employee Engagement in Sustainability
13
14
15
Community Involvement
16
17
18
Use of Renewable Resources
19
20
21
How would you rate your overall sustainability performance?
*
1
2
3
4
5
Which of the following sustainability certifications or initiatives has your organization adopted? (Select all that apply)
ISO 14001
LEED Certification
Energy Star
Fair Trade
B Corp
None
Other
Does your organization publicly report on sustainability performance?
*
Yes
No
Planning to Start
What are the main challenges you face in improving sustainability?
Additional Comments or Observations
Submit Evaluation
Should be Empty: