Ecocover Questionnaire

Questionnaire

Caring for you and the environment

Great, you are on your way to obtaining up to a 10% discount for caring for the environment.

Simply complete this questionnaire to qualify.

We will then contact you as soon as possible by email or telephone during normal office hours to discuss with you your insurance needs and provide you with a quotation.

Commercial Insurance - Aviva

The Home Questionnaire is available here


	First Name *

	Surname *

	Business Name *

	Your email address * (required to send the results)

	Contact telephone number *

	* Required in order to send the form

	Bronze
	(1) Does your business recycle paper?		No Yes
	(2) Does your business recycle or reuse cardboard or other packaging materials?		No Yes
	(3) Does your business recycle cans or bottles?		No Yes
	(You must be able to tick at least two ‘yes’ boxes to qualify for a 5% discount. If you can tick more than two, go to Silver)

	Silver
	(1) Do you use energy efficient lightbulbs?		No Yes
	(2) Does your business have ‘A’ rated energy efficient appliances, i.e. computers, microwaves or business machinery?		No Yes
	(3) Do you consider / ascertain the green credentials of suppliers?		No Yes
	(4) Do you turn your heating thermostat down and maintain your boiler?		No Yes
	(5) Do you or your staff car share, cycle or walk whenever possible to work?		No Yes
	(You must be able to tick at least two ‘yes’ boxes to qualify for a 7.5% discount. If you can tick more than two, go to Gold)

	Gold
	(1) Do you purchase your energy from a Green Utility supplier?		No Yes
	(2) Do you have a Wind Turbine or Solar Panel?		No Yes
	(3) Do you select company vehicles with energy efficiency in mind?		No Yes
	(4) Does your business operate an Environment Management System?		No Yes
	(5) Are you registered to the Environmental 14001 standard, BS8555 or equivalent?		No Yes
	(You must be able to tick at least two ‘yes’ boxes to qualify for the full available discount of 10%)