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					 A green business model is defined as a viable business model that has a positive environmental impact - be it through a company's internal processes and
             model often differs from a traditional business model by involving a new value proposition, new market approaches, new key activities, new p


                                   If only a part of your company is using a green business model, please focus on that part (i.e. subsidiary company or bu

                                            All your answers and information in the questionnaire will be kept confidential and will not be published with

1. Please list background information
      What year did you establish your existing green business model? (please choose the first year that you have
      accounting numbers regarding your green business model)
      Please write the name of your company, subsidiary company or business unit that uses the green business
      model (and which you have accounting numbers for)
      Did the company, subsidiary company or business unit identified in the prior questions exist before your
      existing green business model was introduced?
      Name of the primary industry (and secondary industries) of your green business model
      Name of the country that your company is based in (dropdown list)
      The region(s) where you sell the products/services using the green business model
      Please write a short description of your green business model (i.e. name of product/service, value proposition
      og expected benefits)


     Names of your main competitors (subsidiary company) that you consider to DO NOT have a green business
     model (please write the names of companies or subsidiary companies)

     Contact e-mail




2.   Please estimate the degree to which your company in each year
     - on a scale from 7 ("to a very high degree") to 4 ("insignificant") to 1 ("to a very low degree")
     had an environmental focus in the supply chain
     had an environmental focus through partnerships with your suppliers
     had a take-back mechanisms for your used products
     had reduced materiale use in your products/services
     had designed recycable products/services
     had designed waste-free products/services
     was a part of an industrial symbiosis
     had maintained product ownership (by selling the product as a service)
     was paid by the output of your products/services


3.   Please estimate the following accounting numbers
     Revenue
     Total assets
     EBIT (earnings before interest and taxes)


     Numbers of full time employees (full time equivalent)




4.   Please estimate the change in your expenses related to your green business model
     - on a scale from 7 ("strongly increased") to 4 ("no change") to 1 ("strongly decreased")
     Research and development expenses
     Production expenses
     Sales and distribution expenses
     Administrative and other expenses
5.   Please estimate the following environmental impacts of your green business model
     - on a scale from 7 ("very high") to 4 ("insignificant") to 1 ("very low")
     CO2 and other greenhouse gas emission (per produced unit)
     Energy consumption (per produced unit)
     Consumption of non-renewable materials, including fossil fuel (per produced unit)
     Waste for recycling (per produced unit)
     Toxic chemicals (per produced unit)


     OPTIONAL:
6.   Please estimate the change in innovation due to your green business model in the period indicated
     - on a scale from 7 ("strongly increased") to 4 ("no change") to 1 ("strongly decreased")
     in materials
     in production and processes
     in products/services
     in management systems (for dealing with environmental issues)
     in marketing
     in infrastructur (the organizational structures for selling or taking back your products)

7.   Additional comments
ental impact - be it through a company's internal processes and/or externally through products and services. A green business
proposition, new market approaches, new key activities, new partnerships or changes in the profitability schemes.


model, please focus on that part (i.e. subsidiary company or business unit) in your answers.

nnaire will be kept confidential and will not be published without your permission



                             Choose from list




                             Choose from list

                             Choose from list             Choose from list       Choose from list
                             Choose from list
                             Choose from list             Choose from list       Choose from list




                        1.
                        2.
                        3.



                                        If no years show below, then please answer the question in cell C9 og C11
                                Year -1 / 0                 Year +3                    2010
                        Relative to your industry Relative to your industry Relative to your industry
                               at that time               at that time             at that time
                            Choose from list            Choose from list        Choose from list
                            Choose from list            Choose from list        Choose from list
                            Choose from list            Choose from list        Choose from list
                            Choose from list            Choose from list        Choose from list
                            Choose from list            Choose from list        Choose from list
                            Choose from list            Choose from list        Choose from list
                            Choose from list            Choose from list        Choose from list
                            Choose from list            Choose from list        Choose from list
                            Choose from list            Choose from list        Choose from list



                                Year -1 / 0                   Year +3                 2010




                                                   Please write currency here:




                          Year -1 / 0 to Year +3
                          Relative to revenue in
                           the period indicated
                             Choose from list
                             Choose from list
                             Choose from list
                             Choose from list



                                Year -1 / 0                   Year +3                 2010              Where is the impact
                                                                                                        created in the value
                                                                                                              chain:
                                                                                Where is the impact
Relative to your industry Relative to your industry Relative to your industry   created in the value
       at that time              at that time              at that time                chain:
    Choose from list          Choose from list          Choose from list           Choose from list
    Choose from list          Choose from list          Choose from list           Choose from list
    Choose from list          Choose from list          Choose from list           Choose from list
    Choose from list          Choose from list          Choose from list           Choose from list
    Choose from list          Choose from list          Choose from list           Choose from list



 Year -1 / 0 to Year +3     Where is the impact
Relative to your industry   created in the value
      in that period               chain:
    Choose from list           Choose from list
    Choose from list           Choose from list
    Choose from list           Choose from list
    Choose from list           Choose from list
    Choose from list           Choose from list
    Choose from list           Choose from list
     Choose from list      Choose from list
1    7                     7                  7
2    6                     6                  6
3    5                     5                  5
4    4                     4                  4
5    3                     3                  3
6    2                     2                  2
7    1                     1                  1
8                          Not relevant       Not relevant
9
10




                           Euros
                           Dollars




                Choose from list
                Yes
                No
Choose from list
in the pre-production   7                  product design
in the production       6                  packaging
in use                  5                  product placement
in the reuse            4                  product promotion
                        3                  pricing
                        2
                        1
                        0 Decline




                        Choose from list
                        Home market
                        Europe
                        North America
                        South America
                        Asia
                        Africa
                        Australia
Choose from list   Choose from list   Choose from list
7                      2011           Afghanistan
6                      2010           Akrotiri
5                      2009           Albania
4                      2008           Algeria
3                      2007           American Samoa
2                      2006           Andorra
1                      2005           Angola
Not relevant           2004           Anguilla
                       2003           Antarctica
                       2002           Antigua and Barbuda
                       2001           Argentina
                       2000           Armenia
                       1999           Aruba
                       1998           Ashmore and Cartier Islands
                       1997           Australia
                       1996           Austria
                       1995           Azerbaijan
                       1994           Bahamas, The
                       1993           Bahrain
                       1992           Bangladesh
                       1991           Barbados
                       1990           Bassas da India
                       1989           Belarus
                       1988           Belgium
                       1987           Belize
                       1986           Benin
                       1985           Bermuda
                       1984           Bhutan
                       1983           Bolivia
                       1982           Bosnia and Herzegovina
                       1981           Botswana
                       1980           Bouvet Island
                       1979           Brazil
                       1978           British Indian Ocean Territory
                       1977           British Virgin Islands
                       1976           Brunei
                       1975           Bulgaria
                       1974           Burkina Faso
                       1973           Burma
                       1972           Burundi
                       1971           Cambodia
                       1970           Cameroon
                       1969           Canada
                       1968           Cape Verde
                       1967           Cayman Islands
                       1966           Central African Republic
1965   Chad
1964   Chile
1963   China
1962   Christmas Island
1961   Clipperton Island
1960   Cocos (Keeling) Islands
1959   Colombia
1958   Comoros
1957   Congo, Democratic Republic of the
1956   Congo, Republic of the
1955   Cook Islands
1954   Coral Sea Islands
1953   Costa Rica
1952   Cote d'Ivoire
1951   Croatia
1950   Cuba
1949   Cyprus
1948   Czech Republic
1947   Denmark
1946   Dhekelia
       Djibouti
       Dominica
       Dominican Republic
       Ecuador
       Egypt
       El Salvador
       Equatorial Guinea
       Eritrea
       Estonia
       Ethiopia
       Europa Island
       Falkland Islands (Islas Malvinas)
       Faroe Islands
       Fiji
       Finland
       France
       French Guiana
       French Polynesia
       French Southern and Antarctic Lands
       Gabon
       Gambia, The
       Gaza Strip
       Georgia
       Germany
       Ghana
       Gibraltar
       Glorioso Islands
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See (Vatican City)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Jan Mayen
Japan
Jersey
Jordan
Juan de Nova Island
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Namibia
Nauru
Navassa Island
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paracel Islands
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
Spain
Spratly Islands
Sri Lanka
Sudan
Suriname
Svalbard
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tromelin Island
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands
Wake Island
Wallis and Futuna
West Bank
Western Sahara
Yemen
Zambia
Zimbabwe
Choose from list
Fishing industry
Timber industry
Tobacco industry
Chemical industry
Computer industry
Construction industry
Defense industry
Energy industry
Entertainment industry
Food industry
Health care industry
Hospitality industry
Information industry
Insurance industry
Manufacturing
Media
Telecommunications industry
Water industry
public of the




Antarctic Lands
onald Islands
South Sandwich Islands

				
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