Mining CSI Survey Questionnaire Thank you for taking the time to participate in this survey. This survey will take no longer than 10 minutes to complete. The purpose of this survey is to get a better understanding of the impacts of mining Corporate Social Investment (CSI) projects including: the CSI project implementation process; how your implemented CSI project is being managed and how the project has been of value to the community it was implemented in 1. SustainabilityIs the facility or project generating enough revenue to take care of its employees, operations, and maintenance?YesNoPartiallyCan the facility or project survive without additional mine funding?YesNoPartiallyIs the mine still contributing finances towards the project?YesNoPartiallyIs the facility or project being maintained?YesNoPartiallyIs the facility or project being used for the intended purpose?YesNoPartiallyIs the facility or project still in use or active?YesNoPartially2. GovernanceWho owns the facility?MinePrivate EntityGovermentCommunityOther (Please Specify Below):(please specify):Who funds the ongoing activities of the facility?MinePrivate EntityGovermentCommunityOther (Please Specify Below):(please specify):Who operates the facility?MinePrivate EntityGovermentCommunityOther (Please Specify Below):(please specify):Who maintains the facility?MinePrivate EntityGovermentCommunityOther (Please Specify Below):(please specify):3. ImpactEconomic Impact: How many people are currently permanently employed at the facility or project?None1-33-7More than 10Economic Impact: How many businesses have contracts to provide ongoing services on or for the facility or project?None1234More than 5Social Impact: Whom is the facility or project serving? (e.g., community members, employees, etc.)Community MembersNPOOther(please specify):Social Impact: How many people do you estimate are served by the facility or project?Community MembersNPOsOthersSubmit Form
