Supplier Survey

Dear Suppliers,

The B Corp certification criteria includes information about our suppliers, so in order to support our
application, we would like to learn more about our valued supplier’s business practices! We are asking
you to answer the following questions to the best of your company’s knowledge; this survey is short and
should be fairly straightforward. If you have any questions or would like to speak with us further about
our B Corp Certification pursuit, please contact CONTACT. We greatly appreciate your feedback and time
completing this survey, and request that you complete the survey in full by DATE.

Thank you! Sign off.

1) Does your company have goals to reduce, track progress towards the goals and report progress on:
a) GHG emissions?
Yes, No, Not sure, Other (with space for comment)

If yes, please share your goals and progress to date. (Space to upload doc or provide
url)

a-1) Approximately what % of your GHG emissions has your company reduced in the
past two years?
___% (Fill in blank), Not sure, Other (with space for comment)

b) Generation /recycling/reduction of solid waste?

Yes, No, Not sure, Other (with space for comment)

If yes, please share your goals and progress to date. (Space to upload doc or provide
url)

b-1) Has your company implemented any initiatives to reduce waste at the source or
divert waste from landfills /incineration by at least 10% in the past two years?
Yes, No, Not sure, Other (with space for comment)
If yes, please share your goals and progress to date. (Space to upload doc or
provide url)

c) Hazardous waste?
Yes, No, Not sure, Other (with space for comment)

If yes, please share your goals and progress to date. (Space to upload doc or provide
url)
 c-1)Does your company responsibly dispose of all hazardous waste generated from
production?
Yes, No, Not sure, Other (with space for comment)

d) Effluent and/or onsite water pollution?

Yes, No, Not sure, Other (with space for comment)

If yes, please share your goals and progress to date. (Space to upload doc or provide
url)

e) Onsite air exhaust pollutants?

Yes, No, Not sure, Other (with space for comment)

If yes, please share your goals and progress to date. (Space to upload doc or provide
url)

d) Water usage?
Yes, No, Not sure, Other (with space for comment)

If yes, please share your goals and progress to date. (Space to upload doc or provide
url)

d-1 )Does your company recycle water on site?

Yes, No, Not sure, Other (with space for comment)

If yes, please explain how water is recycled on site.

d-2) Does your company use closed-loop or the other water recovery systems to
reduce the use of potable water?
Yes, No, Not sure, Other (with space for comment)

If yes, please explain system.

e) Energy usage?
Yes, No, Not sure, Other (with space for comment)

If yes, please share your goals and progress to date. (Space to upload doc or provide
url)

e-1) Does your company use at least 10% of its energy from renewable sources?
Yes, No, Not sure, Other (with space for comment)
2)Is your company owned by individuals from underrepresented populations? (This includes women,
minority/previously excluded populations, people with disabilities, and/or individuals living in low-
income communities.)
Yes, No

a.) Do individuals from underrepresented populations sit on your board?

Yes, No

3)Does your company track chemicals in its supply chain for the majority of materials?
Yes, No

Please explain.

4) Is your company located in low-income communities?

Yes, No, Not sure, Other (with space for comment)

5) Does your company employ chronically underemployed populations? (i.e. at-risk youth, formerly
incarcerated, homeless, etc.)
Yes, No, Not sure, Other (with space for comment)

Please explain.

6) Does your company have other people and planet- focused business practices which you would like
to share with us?
(Write-in answer box, long format)

7) Any further comments?

(Write-in answer box, long format)