Your information
 

Company name *

Last name *

First name

E-mail address *

Phone number *

Description of your product


What is the annual production of the product?
Please state an amount and an unit (such as 300 ton or 40 miles)

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• Resources

R.1 What are the resources you use that make up >95% of your product/service?

Please specify your answer
(preferably as a fraction, for example ...ton/ton)


R.2 What percentage of the resources is recycled and/or reused?
0%
0-10%
10-25%
More

Please specify your answer


You have reached the end of the resources part
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• Your site

Please state all the amounts in reference to the annual production volume you filled out earlier.
Please state an amount and a unit (such as 10 kWh or 5 gallons).

S.1 How much energy do you use?

Electricity

Gas

Coal

Oil

Biomass

Green energy (solar/wind/water)

Other energy


Please specify your last answer about other energy

S.2. Do you have CO₂-savings?

You have reached the end of the site part
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• Transport

T.1. What is the main means of transport for materials you use? (truck, train, vessel ..)

T.2. What is the typical distance for this transport? (miles)

< 100
100-250
250-500
More than 500

T.3. What is the main means of transport for products that you deliver? (truck, train, vessel, ..)

T.4. What is the typical distance for this transport? (miles)

< 100
100-250
250-500
More than 500

You have reached the end of the transport part
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• Use

U.1. Does your product consume or save energy during its use?

yes no

U.2. If yes, how much?
Please state type of energy, amount and a time unit
For example 20 gallons of gas per month, or 20 kWh per day
Please specify if needed.

You have reached the end use part
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