Professional Documents
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Page 1 of 9
Title page
Executive Summary
Table of Contents
Page 2 of 9
Company Profile
Firm Name:_____________________________ Respondent:____________________
Position in Organization: _________________________________________________
(Please print the above information)
Firm Address:__________________________________________________________
Telephone Number/s:____________________________________________________
1. Number of years the company has been operating? ______________________
2. Type of industry (Please check appropriate box)
a.
b.
c.
d.
e.
f.
g.
Page 3 of 9
h.
i.
j.
5. Is the company profile taken from the following: (Please check appropriate box).
a.
b.
c.
Internet
Published Journal
Actual Interview
Page 4 of 9
No [
a) If YES , for what reason/s are you employing cleaner production/operation? Please
cite as many that you know.
1. _________________________________________________________________
2. _________________________________________________________________
3. _________________________________________________________________
4. _________________________________________________________________
5. _________________________________________________________________
b) If NO , for what reason/s your company is not employing cleaner production/operation
techniques? Please cite as many that you know.
1. _________________________________________________________________
2. _________________________________________________________________
3. _________________________________________________________________
4. _________________________________________________________________
5. _________________________________________________________________
If answer in the above main question is YES, please answer question numbers 1-8.
If answer in the above main question is NO, please answer question numbers 8,10,11 & 12.
1. When was the idea of cleaner production/operation or sustainable business operation
introduced in your company (Please cite exact year of implementation).
_________________________________
2. Who was involved in the design and implementation (if there was any
implementation done) of cleaner production in your company?
(Tick as appropriate)
Description
Consultants
In-house accountants
Production personnel
Systems personnel
Marketing personnel
Any other (please specify)
Design
Implementation
Page 5 of 9
Purpose
Stock Valuation
Product Pricing
Product Output Decisions
Cost Management and Reduction
Cost Budgeting
New Product Design
Customer Profitability Analysis
Performance Measurement
Cost Modeling
Basis of Decision
to Introduce
Yes
No
Current Use
Yes
No
Page 6 of 9
5. How would you rate the overall success of the introduction of the cleaner
production/operation techniques in your firm? (Tick as appropriate)
Degree of Success
In terms of
Profitability
Social
Responsibility
________
________
________
_____ Neutral
________
________
________
________
________
________
________
________
________
________
________
Company
Competitiveness
________
How will the adoption of cleaner production/operation techniques help the company
in addressing the need to become socially responsible?
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
6.
Did you experience any unexpected outcomes from the introduction of the cleaner
production/operation techniques?
Yes [ ]
No [ ]
Page 7 of 9
Page 8 of 9
Thank you for helping with this study. Rest assured that all information that you included here will
be use only for academic purposes and will be considered confidential.
Page 9 of 9