Supply Chain Questionnaire
Thank you for completing this supply chain questionnaire about the products you supply.

Our company has signed The Pledge to ASK "What’s it made of?"

As a next step I am committed to determining the presence or absence of the following chemicals of concern in the products that you provide to us: Flame Retardants, Fluorinated Stain/Water Resistant Treatments, Antimicrobials, Formaldehyde and Polyvinyl Chloride (PVC). Our goal is to improve the health of our customers, employees, communities and the global environment by reducing the use of chemicals that pose harm to human health and the environment.

We wish to improve our supply chain with your help, and we thank you in advance for your partnership in this endeavor.

Please respond to this questionnaire within 30 days of receipt, and let me know when you have completed it. If you have any questions about the survey, please contact Susan Inglis at or (252) 368-1098.

Email address *
Name of Person Completing Questionnaire *
Your answer
Title of Person Completing Questionnaire *
Your answer
Company or Organization *
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Phone number
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