Business Questionnaire

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Business - Self Assessment Questionnaire

The questionnaire is designed to help us identify the legislation that may apply to your business. We will then be able to determine the appropriate risk assessment and guidance which you may need.

Please answer All the questions on this questionnaire, by using the space provided, the tick box or the not applicable box. Thank you.

Name of Business:						Status:
Business Address:
Email:
Owner's Name:
Website:
Nature of Business:

Do you also trade outside of South Tyneside:

Yes No

Do you sell to public via :
Direct from your premises	Internet	Mail Order

Are you a member of a trade association:

Yes No

If yes please provide details:

Do you manufacture/produce goods ready for sale to the public:

Yes No

Do you use any weighing or measuring equipment in your business:

Yes No

If Yes, which of the following is used:

Weighing Machine	Linear Measure	Capacity Measures
Other

Do you offer any credit or hire facilities to consumers:

Yes No

Do you manufacture, process or pack food intended for human consumption:

Yes No

Do you sell second hand goods:

Yes No

If Yes does it include domestic electrical items:

Yes No

Do you manufacture or sell by retail any of the following products:

Pens, Crayons or similar:	Toys:	Cosmetics:
Gas Cooking Appliances:	Bunk Beds:	Electrical Equipment:
Upholstered Furniture:	Machinery:	Bicycles:
Construction Products:	Carry Cot Stands:	Prams or Pushchairs:
Protective Equipment:	Nightwear:	Textile Products:
Childrens Clothing:
Dangerous Products described as:
corrosive:	harmful:	explosive:
flammable:	highly flammable:	irritant:

How are the prices of any goods displayed :

Price on item	Price List	Notice near item
Not Displayed	Other

Do you ever make charges not included in your displayed prices:

Yes No

If Yes, what additional charges are made:

Vat	Service Charge	Delivery Charge
Credit Card Use	Other

Do you sell any of the following age restricted products:

Yes No

If Yes please specify:	Fireworks:	Alcohol:
Tobacco products:	Lottery Tickets:	Knives:
Videos/DVDs/Games:	Gas Lighter Refills:	Solvents:

Please also take time to provide us with some feedback on this questionnaire to help us develop the scheme. Thank you.

Was this questionnaire:

Easy to complete

Difficult to complete

How would you like to be contacted by us in future:

Personal Visit:

Questionnaire:

Email:

To help us meet your needs please tell us the best ways to provide information:

Personal Visit:	Leaflets:	Email:
Website:	Newsletter:	Media:
Local Business Partnerhips:	Training Sessions:	Telephone:
Presentations:	Other:

Thank you for completing this form. We would also welcome any comments or suggestions you may have. Please do so in the box below. You may also consider providing feedback by our business questionnaire.

Should we need to make contact with you please tell us who to speak to :

Thank you for your time and co-operation with this initiative

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