Name
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First Name
Last Name
Business Name
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Email
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Phone
On a scale of 1-5 how would you rate how environmentally sustainable, eco friendly or environmentally conscious your business current is?
1 - Don't really take any actions
2 - Not good but interested
3 - OK we take a few actions
4 - Quite good, we try hard
5 - Very good
Comments?
Do you currently take any environmental action as a business / have you taken any steps to become more eco-friendly?
Yes I have taken some steps
No but I want to
Unsure
Are there any practices or frustrations you have that immediately come to mind that you would like to see if there are alternatives to change?
Do you measure and/or audit the amount of waste your business creates?
Yes we have had our waste audited and/or actively track our waste ourselves
No but we are interested in learning more
No and not interested at this stage
Are you taking action to reduce or design out waste from your business processes?
Yes, we have taken some action to reduce waste
No but we are interested in learning more
No
If you have taken some actions briefly describe these below
Have you taken any of the following actions? (tick all that may apply)
Staff has had training on identifying recyclable material
Site has posters onsite to remind staff and customers about separating recycling
We use council / kerbside recycling
Recycling is taken to a local recycling centre
Use commercial waste providers for waste, recycling and/or organics
Soft plastics are collected and taken to a drop off point for recycling
Have any practices in place to reduce single-use waste
Have any practices in place to reduce paper wastage
None of the above
Any other actions you have taken you would like us to note?
If you currently have any paper waste savings practices do these include any of the following? (tick all that may apply)
Staff contracts are digitised as a standard and not printed
Client contracts are digitised as a standard and not printed
Air dryer or cloth hand towels instead of single use paper
Package free or paper wrapped toilet paper if selling products
Reminder signage around printers, eg "Think before you print"
Yes we do but different to the above (add details below)
None
If you take any other paper waste savings actions please list below
Tell us about your current environmentally friendly chemical use. Tick all that apply.
We use non-toxic, natural ingredient based or grey water safe cleaning products
We refill our cleaning products at a refillery
We buy in bulk to refill small bottles eg: Soap, Counter spray, Laundry Liquid
Other (details below)
Currently no actions taken
Other environmentally friendly chemical use actions we are taking ...
Conscious money decisions. Tick all that apply
Bank with KiwiBank (NZ owned, BCorp Certified, no fossil fuel investment)
Bank with Co-operative Bank (Customer owned, no fossil fuel investment, BCorp certified)
Used mindful money survey to asses where money is being invested
Pay staff living wage or above
None of the above
Does your business inherently use heavy amounts of power, water, fossil fuels or chemicals because of the nature of the industry? E.g. Relies on freight or shipping daily, sells products made of fossil fuels, uses lots of power or tranport.
Yes
No
If you have any, what environmentally positive energy practices do you have in place? Tick all that apply.
Uses a fully or majority renewable energy power supplier - Powershop, Meridian, Mercury,
Lights are LED or low usage bulbs
Main business site has solar panels
New appliances have at least 3/5 star energy ratings
Staff are incentivised or encouraged to reduce power consumption
None of the above
Tell us about your energy use - how many kWh of energy do you use on average a month?
If you have any, what environmentally positive transport practices do you have? Tick all that apply
Work from home is encouraged
Company cars are hybrid or electric
Carpooling is encouraged and facilitated
Public transport is encouraged and facilitated (e.g. flexible work hours to accomodate public transport)
Walking to work in encouraged
None of the above
Please tell us about your carbon emissions if you can. A business' carbon footprint is the total greenhouse gas (GHG) emissions produced annually. Usually transport, manufacturing, waste, power usage (inc. heating), and other practices measured to find this number. Do you know your current carbon emissions?
Yes
No
If you answered No above would you like more details on how to measure your businesses carbon emissions
Yes
No
If you currently, measure and/or manage your carbon footprint, how do you do this?
Use a certified third party service to measure carbon footprint
Have met set targets for reducing carbon footprint
Use a third party certified, locally focused, regenerative carbon credit programme to offset
We offset carbon footprint from staff travel
Have publicly set targets to reduce carbon footprint
Don't currently take action but interested in finding out how and opportunities
Not currently interested
If you have measured your carbon footprint and/or bought offset credits, please tell us about your partners/providers and CO2Kg emissions.