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Last name:
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Title:
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Company:
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Industry?:
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Education
Government/Military
Manufacturing
Finance/Banking/Accounting
Medical/Healthcare/Pharmaceuticals
Retail/Distributor/Wholesaler
Media/Entertainment/Marketing
Transportation
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Job title?:
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CEO/Board Member/President/COO/CXO
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What is your company’s annual revenue?:
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$1 billion or more
$250 million to less than $1 billion
$100 million to less than $250 million
$25 million to less than $100 million
$10 million to less than $25 million
$1 million to less than $10 million
Less than $1 million
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Which statement best reflects the relationship of green issues and practices to your job?:
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Green issues and practices are a major part of my job description
Green issues and practices are a part of my job description
Green issues and practices are not part of my formal job description, but I am able to have a green impact on my job/company
Green issues and practices do not relate to my job currently, but i am hoping they will in the future
Green issues and practices do not relate to my job currently, and are not likely to in the future
Do you make recommend, influence, specify, or manage the purchase green products and/or services for your company or organization?:
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Yes
No
Would you like to receive information from our specially selected business partners?:
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Which of the following green issues or practices are you currently involved in for your business/organization?:
Energy use and efficiency
Water use and efficiency
Materials use and efficiency
Renewable energy
Controlling or minimizing waste generation and pollution
Purchasing environmentally preferable materials or supplies
Green product or packaging design
Green business travel and meetings
Green marketing and communications
Green I.T.
Other Issues:
