Women's Environmental Network

Agreement and Questionnaire
for inclusion in Companies' List


If you prefer to fill in this form off-line, please go back and click on the word document.

Agreement  
   
This agreement clarifies the position on the use of the WEN logo and name. The form also includes suggestions on ways in which you may be able to support WEN to enable us to continue our valuable work. WEN is a registered charity dependent on membership subscriptions, donations and grants. To ensure our independence and impartiality WEN only accepts funding in compliance with its corporate sponsorship policy. However, we would welcome any suggestions from yourselves as to ways in which you could support WEN’s work, and suggest that as a minimum you would agree to commit to one of the following:
 

We would like to support WEN’s work in the following way(s):

We would like to affiliate and will submit the printable Affiliate Membership Form.

 
We would like to order WEN membership leaflets to distribute to our customer base and staff. (Please enter number of leaflets required.)
 
We would like to place an advertisement in WEN News and are happy to be contacted to discuss this further.
 
We will include a link to the WEN website on our site, and will forward a link for your review.

We confirm that subject to meeting the specified criteria* we would like to be included on WEN’s list of cosmetics companies. We understand that inclusion on the list does not constitute an endorsement by WEN of our products, and will not use WEN’s name or logo to promote our products.

 
Name: Job Title:
Signed: Date:
 
* Minimum criteria for inclusion is that all products are free from parabens and synthetic fragrance
 

 


Questionnaire  

To be considered for inclusion on the WEN website companies' list please complete the questionnaire and ingredient/company criteria checklist below. Please note that the minimum criteria for inclusion is that all products are free from parabens and synthetic fragrances. We look forward to receiving your responses so that we can consider your entry for inclusion on our website.

Section 1  

  Details - for publication  
 

Company Name:

 

Address:

 

Phone:

 

Website:

 

Email:

 

Details - not for publication

 
  Contact Name:
  Title/Position:
  Phone Number:
  Email:

Section 2  

1. What testing and assessment do you do to ensure your products do not harm human health or the environment?
 
2. What steps do you take to minimise the environmental impact of the manufacturing process?
 
3. What steps are you taking to ensure your packaging is environmentally friendly, both avoiding waste and produced from sustainable materials?
 
4. a) Does your company agree that the precautionary principle should be applied to the use of potentially risky chemicals, i.e. that where there are threats of serious or irreversible damage, action should be taken to prevent it, even though there is not full scientific certainty? Yes No
4. b) Does your company apply the precautionary approach to suspect ingredients, even though they are at present approved for use? Yes No
 
5. a) Does your company have an environmental policy? Yes No
5. b) Does your company have a corporate social responsibility policy? Yes No
 
6. a) Have you received any complaints from customers about health effects arising from use of your products? Yes No
6. b) If so, what action have you taken to investigate, undertake further tests or eliminate the problem?
 
7. a) What ingredients do you use in your preservative system? If you buy them in how do you guarantee they do not contain parabens or other potentially harmful ingredients?
7. b) Is there any research suggesting health implications associated with the ingredients you use?
 
8. What type of messages/images do you focus on in your marketing material? e.g. do you mention anti-aging, cellulite reduction etc…, or focus on promoting a healthy rather than a ‘perfect’ body image?

Section 3  

Please indicate Yes or No against each claim (where the column is left blank, we will assume the claim is not made) and add any comments in the third column.
Free from parabens? Yes No
Free from synthetic fragrances? Yes No
All products carry recognised certification? (please specify certifying body) Yes No
Free from petro-chemicals?
Yes No
Free from synthetic colours?
Yes No
Against animal testing? Yes No
Free from genetically modified ingredients? Yes No
Free from nanoparticles? (WEN Nanotechnology statement available on request) Yes No
Contain ingredients which carry the certified FAIRTRADE Mark? Yes No
Full ingredients list always included in product catalogue and/or available on website? Yes No
Free from chemically manufactured/ synthetically made/nature identical ingredients? Yes No
Product information printed on recycled paper? Yes No
Plants from sustainably managed areas? Yes No

Section 4  

Is a full list of ingredients available on your website? Yes No
If not, please email one to cosmetics@wen.org.uk
   
Is a list of stockists available on your website: Yes No
If not, please email one to cosmetics@wen.org.uk
   
Thanks for taking the time to complete this questionnaire. Now please submit your form.