Please enable JavaScript in your browser to complete this form. - Step 1 of 8What company/organization are you assessing?Which of the following best describes your relationship to the company or the perspective from which you will be completing this survey?EmployeeCustomer/ClientSupplier/VendorInvestor/Shareholder/FinancierEnvironmental AdvocateCommunity MemberFranchiseeHow much do you agree with the following statements?For each statement: 1 = strongly disagree 2 = disagree 3 = undecided or neutral 4 = agree 5 = strongly agree (leave blank if not applicable)I care about the way this company does business.12345I believe this company could have a significant impact on me (e.g. my health, personal/professional interests, career, finances, quality of life).12345My actions make a difference to this company. (e.g. its financial performance, sustainability, reputation).12345Next: Collaborative RelationshipsCollaborative RelationshipsOverview: The company builds trusting relationships that meet the needs of everyone involved. For each statement: 1 = strongly disagree 2 = disagree 3 = undecided or neutral 4 = agree 5 = strongly agree (leave blank if not applicable)The company seeks to understand what’s important to me.12345The company recognizes and values how I contribute to the business.12345The company is proactive in sharing information that is important to me.12345I feel safe being candid and vulnerable with leadership in this company.12345Use the space below if you’d like to explain your scores for this section.Next: Helping People ThriveHelping People ThriveOverview: The company helps people grow to fulfill their potential and live their best life for themselves and their loved ones. For each statement: 1 = strongly disagree 2 = disagree 3 = undecided or neutral 4 = agree 5 = strongly agree (leave blank if not applicable)The company takes action to support my health and wellbeing.12345My life is better because of my relationship with this company.12345The company cares about me as a person.12345Use the space below if you’d like to explain your scores for this section.Next: Inclusion and EquityInclusion and EquityOverview: The company proactively engages people from different backgrounds, identities, abilities and socio-economics to make better decisions. For each statement: 1 = strongly disagree 2 = disagree 3 = undecided or neutral 4 = agree 5 = strongly agree (leave blank if not applicable)I am free to be myself when I interact with this company.12345The company proactively seeks to promote diversity, equity and inclusion in how they operate.12345My identity and interests are represented by the people making decisions at this company.12345I am included in decision-making that impacts me.12345Use the space below if you’d like to explain your scores for this section.Next: Financial ProsperityFinancial ProsperityOverview: The company strives to help everyone who works with them achieve financial security. For each statement: 1 = strongly disagree 2 = disagree 3 = undecided or neutral 4 = agree 5 = strongly agree (leave blank if not applicable)The value I get from the company is fair relative to the value I give.12345My compensation and benefits provide me with financial stability. (EMPLOYEES ONLY)12345I can depend on this company for the foreseeable future.12345Use the space below if you’d like to explain your scores for this section.Next: Environmental StewardshipEnvironmental StewardshipOverview: The company conserves and restores the environment as it does its business. For each statement: 1 = strongly disagree 2 = disagree 3 = undecided or neutral 4 = agree 5 = strongly agree (leave blank if not applicable)The company addresses its impact on the environment.12345The company inspires me to take better care of the environment.12345The company is helping to heal and restore the planet.12345Use the space below if you’d like to explain your scores for this section.Next: Company PurposeCompany PurposeOverview: The company’s reason for being is to solve a specific, important problem. For each statement: 1 = strongly disagree 2 = disagree 3 = undecided or neutral 4 = agree 5 = strongly agree (leave blank if not applicable)The company’s actions are consistently ethical.12345I am inspired by the company's purpose.12345The company’s actions are aligned with its purpose.12345The company uses meaningful metrics to show its progress in fulfilling its purpose.12345Use the space below if you’d like to explain your scores for this section.Next: Final ThoughtsFinal ThoughtsThank you for your responses. Finally, we’d like to ask you a couple more questions to see how you think your perspective compares to other people from your same stakeholder group. We’d also like to give you the opportunity to say anything else you’d like to say about your company and about this assessment.Do you think your personal experience with this company is similar to others?I believe my experience is worse than othersI believe my experience is similar to othersI believe my experience is better than othersI'm not sureI want to maintain my relationship with this company for the foreseeable future.12345What else would you like company leaders to know?What is working about this tool and how can we make it better?Email *Would you like to apply for a company-wide assessment?YesNoCompany Assessment ApplicationWe recommend starting your Stakeholder Score Assessment by surveying people who are familiar with the company's operations (e.g key investors/advisors, board members, leadership, and employees). Our team will be in touch to confirm the details of your assessment and provide you with a customized version of the survey for your company. The cost of the assessment is based on the number of survey responses (excluding any incomplete surveys that are left out of the report): <200 responses = $500 200-499 responses = $1000 500-999 responses = $2000 1000-1999 responses = $4000 >2000 responses = custom pricing Company Contact Name *FirstLastCompany NameCompany Website URLRelationship to Company Being AssessedI am a consultant or contractor hired by the company being assessed.I am employed by the company being assessed.OtherSubmit