Supplier ESG Data Survey Form
Supplier ESG Data Survey
Company Name
*
Primary Contact Email
*
example@example.com
Which industry does your company operate in?
*
Please Select
Manufacturing
Logistics
Retail
Technology
Other
Does your company have an environmental policy?
*
Yes
No
Please rate your company's environmental initiatives.
*
1
2
3
4
5
Which of the following social responsibility practices does your company implement? (Select all that apply)
*
Diversity and inclusion programs
Employee health and safety initiatives
Community engagement
Ethical labor practices
Other
Does your company have a formal governance structure (e.g., board of directors, compliance officer)?
*
Yes
No
How would you rate your company's transparency in ESG reporting?
*
Not transparent
1
2
3
4
Fully transparent
5
1 is Not transparent, 5 is Fully transparent
Please provide a brief example of an ESG initiative your company has implemented.
Please indicate the extent to which your company addresses the following ESG areas.
*
Rows
Not at all
Somewhat
Significantly
Energy use reduction
1
2
3
Employee well-being
4
5
6
Ethical sourcing
7
8
9
Anti-corruption policies
10
11
12
Submit
Should be Empty: