Company You Are Representing *
Email *
1) Does your Company have a sustainability policy? Yes No
2 ) Does your Company source their materials from renewable and sustainable sources? Yes No
3) Does your Company make an effort to offset its carbon emissions and other environmental footprints? Yes No
5) Any Other Comments You Would Like to Share on Your Company's Policies and Leadership on Environmental Protections?
1 ) Do your Company's employees get a minimum of 12 weeks paid maternity/ paternity leave with a right to return to their position on their return and equal benefits being applied to men and women and parents who adopt or have a child through surrogacy? Yes No
2 ) Do your Company's employees perceive that the Company provides equal pay and equal opportunities for men and women? Yes No
3 ) Does your Company’s health benefit program cover the cost of abortions and contraception for employees and dependents receiving coverage under the Company provided plan? Yes No
5 ) Any Other Comments You Would Like to Share on Your Company's Policies and Leadership on Women's Equality?
1 ) Does your Company provide equal benefits to married employees and those with domestic partners, and the same benefits to heterosexual and same sex couples, worldwide? Yes No
2 ) If your Company is a US based Company, did the Company sign the amicus brief in support of the elimination of DOMA? http://www.mass.gov/ago/news-and-updates/press-releases/2011/2011-11-03-employer-doma-amicus.html Yes No Not Applicable
3 ) Does your Company enforce a gendered dress code? Yes No Not Applicable
4 ) Does your Company provide gender neutral bathrooms or otherwise allow trans and non-binary employees to use the bathroom where they most feel comfortable and safe? Yes No Not Applicable
5 ) Does any health care benefit you provide include transgender specific coverage, such as hormone replacement therapy? Yes No Not Applicable
7) Any Other Comments You Would Like to Share on Your Company's Policies and Leadership on LGBTQ Equality?
1 ) Does your Company or any company under common ownership or control with it (where ownership or control is defined as the ability to cast at least 50% of the votes required for the election of directors), produce or sell guns or ammunition? Yes No
2 ) Does your Company (or parent company) have an official stance on gun control? If so, please explain? Yes No
3) Does your company provide discounts to or any other special treatment for NRA members or have any form of business relationship with the NRA? Yes No
4) Is your Company taking steps to promote gun control and/or reduce instances of gun violence in the U.S.? Yes No
5) Has your Company donated money to any politicians or causes that support gun control (e.g., Everytown for Gun Safety, Brady Campaign)? Yes No
6) Has your Company donated money to causes that oppose gun control (e.g., the NRA) or to politicians that are members of, support or accept money from the NRA? Yes No
8) Any Other Comments You Would Like to Share on Your Company's Policies and Leadership on Gun Control?
1 ) Does your Company have a policy of non-discrimination with respect to race, gender, gender orientation and sexual orientation in hiring and in serving guests that it applies worldwide? Yes No
2 ) Does your Company have a policy committing itself to full transparency in its political giving, providing disclosure of direct and indirect gifts to candidates or other Political Organizations? Yes No
3 ) Does your Company provide healthcare to your employees, and, if so, is it available to all employees including part-time employees? Yes No
4 ) Does your Company have a policy committing itself to payment of a living wage for all employees and employees of outsourced services and manufacturing that it applies worldwide? Yes No
5 ) If your Company has headquarters outside the United States, are you a part of the Fair Labor Association and do you follow their guidelines for safe labor practices worldwide? Yes No
6 ) If your Company is based in the US, did it sign onto the petition calling for the passage of federal laws ensuring net neutrality? https://internetassociation.org/our-members/ Yes No Not Applicable
8 ) Any Other Comments You Would Like to Share on Your Company's Policies and Leadership on Just and Civil Society Issues?