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Greenopia Questionnaire - Bakeries

Welcome to Greenopia! We're thrilled that you are applying to join our network. Please fill in this questionnaire, which has some fairly detailed questions about your products, services and general practices. The questions fall into 3 sections: Healthy for You, Healthy for the Planet and Healthy for the Community. If you qualify we will onboard you onto our system, send you a window decal and include you in our listings. If you do not, our relationship doesn't end here! If you wish to try again we can let you know which areas to focus on based on your responses.

Name of Business

Business Location Address

How many locations does your business have?

If your business has more than one location, you can upload them as a file here, or enter them by text in the box below

Please enter additional business locations by text here if you prefer

Website

Email Address

Phone Number

Describe your business in a few sentences

Upload your logo here

Upload any photos of your business that you would like to feature

Is your business a certified B Corp?

Are at least 50% of all of your “to go” containers and carryout bags Biodegradable and/or made from Recyclable Material and/or Chlorine-Free Paper?

Do you have delivery/service vehicles that operate on Alternative Fuels (Biofuels), hybrid, or electric engines?

Do you participate in a Biodiesel Recycling program?

What percentage of your waste does your bakery recycle?

Less than 25%
25%
50%
75%
At least 90%

Are you a part of sustainability association/program in your city, e.g. by the government or an NGO?

What other sustainability associations/programs are you a part of?

Are all or most of your cleaning products environment-friendly (e.g. biodegradable, non-toxic, green production)?

Are most of your appliances Energy Star certified?

Does your business utilize Low Flow Water fixtures?

Do you Compost or participate in a Composting Program?

Does a significant portion of your power (>20%) come from Renewable Resources such as wind, geothermal, small hydro, biomass, or solar?

If applicable, briefly describe your building's green design or construction (10 words max):

Does your business have any accredited certifications related to health?

If so, what are they?

What percentage of your eggs are:
	Less than 25%	25%	50%	75%	At least 90%	n/a
certified organic free-range/cage-free
locally raised, free-range/cage-free without the use of hormones and antibiotics

What percentage of your prepared foods are made with:
	Less than 25%	25%	50%	75%	At least 90%	n/a
certified organic ingredients
locally grown (within 250 miles) ingredients without pesticides and chemical fertilizers

For each of the following food types that you might serve in your establishment, please estimate what percentage is certified organic.
	Less than 25%	25%	50%	75%	At least 90%	n/a
Dairy Products
Grains
Sweeteners
Other Ingredients

In your business, approximately what percentage of the jobs created offer regular, predictable hours?

None
25%
50%
75%
All

In your business, approximately what percentage of the jobs created offer paid vacation, sick and leave time?

None
25%
50%
75%
All

Do you have any specific project designed with or targeted to benefit under-represented groups or communities?

Does your business have a policy or program for donating edible surplus food?

In your business, approximately what percentage of the jobs created offer a payment above the minimum-wage of your State?

None
25%
50%
75%
All

Do you take steps in ensuring fair hiring practices?

Does your business give back by supporting any charitable or nonprofit causes, financially or in other ways?

Does your business have disability access?

In due course, Greenopia will offer a marketing package for $10 per month, allowing you to offer incentives and promotions to our users. Would you be interested in this service?

Check this box to confirm you have read and agree to Greenopia's terms and conditions..