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First Name:
Last Name:
Company Email: (no gmail, hotmail, etc.)
Company:
Phone:
Number of Employees in your Organization:
--Select--
<1,000
1,000 – 1,999
2,000 – 4,999
5,000 – 5,999
6,000 – 19,999
20,000 – 99,999
100,000+
Industry:
--Select --
Aerospace & Defense
Agriculture
Automotive & Transport
Banking
Beverages
Business Services
Charitable Organizations
Chemicals
Computer Hardware
Computer Services
Computer Software
Construction
Consumer Products Manufacturers
Consumer Services
Cultural Institutions
Education - Higher Ed
Education - K-12
Electronics
Energy & Utilities
Environmental Services & Equipment
Financial Services
Food
Foundations
Government
Health Care
Healthcare - Products
Healthcare - Services
Industrial Manufacturing
Insurance
Leisure
Media
Membership Organizations
Metals & Mining
Not for Profit
Pharmaceuticals
Professional Services Organization
Real Estate
Retail
Security Products & Services
Telecommunications Equipment
Telecommunications Services
Transportation Services
Other
Job Title:
Your Region:
--Select --
North America
Africa
Asia
Australia
Europe
Middle East
South/Central America
Other
Do you currently conduct an internal/external risk assessment for your 3rd parties?
--Select --
Yes
No
Sometimes
Unsure
What types of risk does your organization face? (optional)
Which law or regulation is of most interest to you? (optional)
--Select --
Dodd-Frank
Sarbanes Oxley
EEOC
Federal Sentencing Guidelines
FCPA & UK Bribery
HIPAA
CFPOA
HIPAA
EEOC or Employee Relations
Loss Prevention or Restitution
Other
How do you rate your current compliance program?
--Select --
(5) Excellent
(4) Above Average
(3) Satisfactory
(2) Below Average
(1) Unsatisfactory
Unsure
No Compliance Program
Job Level:
--Select --
Board Member / C-Suite / President
Senior Management (EVP, SVP, VP, AVP, General Counsel)
Other Management (Controller, Director, Manager)
Non-Management Staff
Consultant
Student
Other
Job Function:
--Select--
Legal
Corporate Secretary
Governance
Risk Management
Compliance
Privacy
Audit
Operations
Finance
Investor Relations
Information Technology
Loss Prevention
Marketing
Quality
Other
Which organization currently supports your governance, risk & compliance software needs?
--Select --
EthicsPoint
BWise
Compliance 360
Global Compliance
IBM OpenPages
Oracle
RSA Archer
SAP
The Network
Other / Unsure
None
Are you in active evaluation of a compliance solution?
--Select --
Yes
No
Unsure
Additional Comments (optional)
I would like to talk with an EthicsPoint consultant
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