Name *

First Name

Last Name

Do you and/or your employees talk about how you can serve the community?

A) Often/Regularly

B) Sometimes/Inconsistently

C) Never

Do you and/or your employees frequently talk about recycling, biking, and other “green” stuff?

A) Often/Regularly

B) Sometimes/Inconsistently

C) Never

Do you have a compelling vision statement or better yet a manifesto statement?

A) Absolutely

B) Sort Of

C) Not at all

If you have employees, do you give them a few extra perks to show you value them?

A) Absolutely

B) Sort Of

C) Not at all

Do you have, or do you intend to have, a fairly diverse workforce?

A) Absolutely

B) Sort of

C) Not at all

Do you want to help create healthy communities for ALL?

A) Absolutely

B) Sort of

C) Not at all

Do you think about workforce values like authenticity, humility, and equity?

A) Absolutely

B) Sort of

C) Not at all

Do you and/or your team collaborate regularly, or is work based around more individual stars?

A) Collaborate regularly

B) Sometimes

C) Operate with individual ”rock stars”

Do you have, or do you intend to have, Millennials or Gen Z people working for your company?

A) Absolutely

B) Sort of

C) Not at all

Does your brand carry an emotional and uplifting message?

A) Yes, we have an emotional/uplifting message.

B) It could use some tweaking.

C) Nope, we really need a more emotional and uplifting brand message.

Do you have a policy or practice that supports you and/or your employees doing community work?

A) Absolutely

B) Sort of

C) Not at all

Do you want to make a difference?

A) Absolutely

B) Sort of

C) Not at all