Survey – Environmental Facilities Management Roundtable

The purpose of this inaugural forum is to create interactive cross-company dialog, collaboration, and networking; to benchmark performance, and discuss innovation, challenges and emerging issues; and to share knowledge and best practices.

Please complete this short survey to help us gauge interest and participation in this forum, and to help us plan for future meetings and events. If you are not the right person within your organization, please pass this survey on to the appropriate individual, or individuals.

Name *

First

Last

Company *

Title/Role within organization *

Email Address *

# of employees at company *

# of facilities operated (owned or leased) *

If you selected other, please provide industry.

Would you be interested in joining this Environmental Facilities Management Roundtable? *

If no, why not? If yes, what would you hope to gain? *

What topics would you be interested in? Please rank in order of your highest to lowest priority (1 being highest). *

	1	2	3	4	5
Regulatory Compliance	Regulatory Compliance 1	Regulatory Compliance 2	Regulatory Compliance 3	Regulatory Compliance 4	Regulatory Compliance 5
Information Mgmt Sytems	Information Mgmt Sytems 1	Information Mgmt Sytems 2	Information Mgmt Sytems 3	Information Mgmt Sytems 4	Information Mgmt Sytems 5
Sustainability – LEED/Energy/Water/Waste	Sustainability – LEED/Energy/Water/Waste 1	Sustainability – LEED/Energy/Water/Waste 2	Sustainability – LEED/Energy/Water/Waste 3	Sustainability – LEED/Energy/Water/Waste 4	Sustainability – LEED/Energy/Water/Waste 5
Innovation	Innovation 1	Innovation 2	Innovation 3	Innovation 4	Innovation 5
Best Management Practices	Best Management Practices 1	Best Management Practices 2	Best Management Practices 3	Best Management Practices 4	Best Management Practices 5
Governance/Reporting	Governance/Reporting 1	Governance/Reporting 2	Governance/Reporting 3	Governance/Reporting 4	Governance/Reporting 5
Incident/Disaster Response	Incident/Disaster Response 1	Incident/Disaster Response 2	Incident/Disaster Response 3	Incident/Disaster Response 4	Incident/Disaster Response 5
Vendor Management	Vendor Management 1	Vendor Management 2	Vendor Management 3	Vendor Management 4	Vendor Management 5
Environmental Health and Safety	Environmental Health and Safety 1	Environmental Health and Safety 2	Environmental Health and Safety 3	Environmental Health and Safety 4	Environmental Health and Safety 5

How often would you be interested in meeting virtually? *

Would you be interested in meeting in person at least annually? *

Do you have any recommendations for companies or colleagues who you would like to see participate in this forum? If so, please provide company name, contact name, email address, etc.

Name