Section 1 -
Company Baseline Information
1 - What
Country and province/state/region are you located in ?
examples: Canada/BC, France/Auvergne, China/Anhui,
USA/Colorado
2 -
How many employees does your firm have ?
(full-time equivalent)
3 -
Approximate turnover / gross sales
in latest year
please choose equivalent currency
option, and then the range of turnover
4 - What industry is your business in ?
please use
terms such as "Wholesale, foodstuffs", "Tourism, skiing",
"Business
Services, Accounting"
etc.
5 - Do you consider your business to be seasonal ? (i.e. ski
resort operator)
Section 2 - Impact of Environmental Changes on Business
1 - Has your business experienced any major disruption over
the last three years due to unusual environmental events ? ('unusual'
means for your area, compared to the last twenty years)
2 - If yes to the above, was this a single
unusual event, or more than one ?
3 - Please briefly describe the major
event(s)
(i.e flood, heat wave/drought, lack of snow in winter etc)
4 - Would you describe the direct
impact of the event(s) on your business
as mostly:
5 - If you business operations were not
directly or only marginally affected, did your business still
suffer due to your customers or suppliers being hard hit, or due to
other factors, such as a disruption of transportation networks near
you ? Please answer yes or no. If you answer with yes,
please provide a brief comment as to the indirect impact
6 - Please approximate any loss of your business revenues as a
result of unusual environmental event(s) as a percentage of typical
annual revenues:
7 - Please choose an appropriate range to express your
estimate of your increased business costs due to environmental events
and climate change (i.e. rebuilding after a destructive event, higher
insurance costs, special municipal levies, added equipment costs to
clean emissions and/or save energy)
8 - Other comments you may want to add about unusual
environmental events and climate change
Please specify (space for up to 250 characters)
Please press 'submit' when you are done
Thank You for Your Time !
All Rights Reserved, ©