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Self-Assessment Questionnaire
Company Information
Our team is asking you to complete this self-assessment questionnaire to learn more about your corporate policies and practices. Please provide responses to each question below and provide supplemental documentation as necessary.
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1.
Company Title
(Required.)
*
2.
Contact Name and Title
(Required.)
*
3.
Date
(Required.)
*
4.
Product Name and SKU Number
(Required.)
*
5.
Does this product contain any of the following high-risk materials as outlined in the
Design for Freedom International Guidance & Toolkit
(check all that apply)?
(Required.)
Bricks
Concrete
Glass
Metals (Aluminum, Cobalt, Copper, Steel & Iron)
Minerals (Gypsum, Mica & Silica)
Paints & Dyes
Polysilicon & Solar Panels
PVC
Rubber
Stone
Textiles
Timber