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Greenopia Questionnaire - Building Materials and Supplies

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

Website

Email Address

Phone Number

Describe your business in a few sentences

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

Upload your logo here

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

Is your business a certified B Corp?

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

What percentage of your waste does your business 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)?

Does your business utilize Low Flow Water fixtures?

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

Are most of your appliances Energy Star certified?

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

What percentage of your household cleaning tools (mops, sponges, etc) are made from environmentally friendly materials?

Less than 25%
25%
50%
75%
At least 90%
n/a

What percentage of all the flooring you sell would fall into one or more of these categories?
	Less than 25%	25%	50%	75%	At least 90%	n/a
sustainably manufactured
locally or domestically produced
made from renewable or recycled materials

What percentage of the carpeting and padding you sell would fall into one or more of these categories?
	Less than 25%	25%	50%	75%	At least 90%	n/a
sustainably manufactured
locally or domestically produced
made from renewable or recycled materials

What percentage of home decor items you sell would fall into one or more of these categories?
	Less than 25%	25%	50%	75%	At least 90%	n/a
sustainably manufactured
locally or domestically produced
made from renewable or recycled materials

What percentage of all other building materials you sell would fall into any one or more of these categories?
	Less than 25%	25%	50%	75%	At least 90%	n/a
sustainably manufactured
locally or domestically produced
made from renewable or recycled materials

What percentage of your products are made with non-toxic or low-toxicity materials (e.g., no- or low-VOC finishes, adhesives, veneers, or low-impact dyes)?
	Less than 25%	25%	50%	75%	At least 90%	n/a
flooring
carpeting and padding
home decor items
all other building materials

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?

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?

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