Page 1 of 9

Supplier Ethical and Environmental Self-Assessment Questionnaire

This questionnaire is sent to you at the request of your client.

As a supplier in your client's supply chain, this questionnaire will ask you questions to assess how you manage ethical and environmental topics in your company.

The questionnaire will cover the following topics:

- Factory profile

- Production profile

- Workforce

- Audit history

- Ethical compliance

- Environmental compliance

You are about to start the Self-Assessment Questionnaire

It is the responsibility of the supplier and manufacturing site to ensure that the information on this questionnaire is a true representation of the manufacturing site and its systems on the date of completion.

Signature

© 2025 QIMA Limited - All Rights Reserved