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IBT Online: CMP Survey
Step
1
of
5
20%
About You
Your Name
(Required)
First
Last
Your Email
(Required)
Your Company
(Required)
Ownership of your Website
Who is the owner of the website?
(Required)
(Name or Company name)
What is your address?
(Required)
What is your country?
(Required)
What is the email address your visitors can use to contact you about privacy issues?
(Required)
Person who is accountable for the organization’s policies and practices and to whom complaints or inquiries can be forwarded.
(Required)
What is the address where complaints or inquiries can be forwarded?
(Required)
Do you have a GDPR representative? Select all that applies:
(Required)
We have appointed a GDPR representative within the EU
We have a UK-GDPR representative within the United Kingdom
Neither of the above
Your Website
1. Which region(s) do you target with your website?
(Required)
Select all the apply
European Union (GDPR)
United Kingdom (UK-GDPR, PECR, Data Protection Act)
United States
Canada (PIPEDA)
Australia (Privacy Act 1988)
South Africa (POPIA)
Brazil (LGPD)
2. Does your site have visitors with log-in access to a restricted area of the website?
(Required)
Yes
No
Data Collection and Purpose
3. Indicate for what purpose personal data is processed via your website:
(Required)
(Select all that apply)
Contact – Through phone, mail, email and/or webforms
Payments
Registering an account
Newsletters
To support services or products that a customer wants to buy or has purchased
To be able to comply with legal obligations
Compiling and analyzing statistics for website improvement.
To be able to offer personalized products and services
Deliveries
CONTACT DATA: Please specify the types of data you collect
(Required)
A first and last name
Account name or alias
Physical address
An email address
A telephone number
Financial information such as bank account number or credit card number
CONTACT DATA: How long will you retain data for this specific purpose?
(Required)
When the services are terminated or completed
Other period
How long?
(Required)
PAYMENT DATA: Please specify the types of data you collect
(Required)
A first and last name
Account name or alias
Physical address
An email address
A telephone number
Financial information such as bank account number or credit card number
PAYMENT DATA: How long will you retain data for this specific purpose?
(Required)
When the services are terminated or completed
Other period
How long? (in weeks, months, or years)
(Required)
ACCOUNT REGISTRATION DATA: Please specify the types of data you collect
(Required)
A first and last name
Account name or alias
Physical address
An email address
A telephone number
Financial information such as bank account number or credit card number
ACCOUNT REGISTRATION DATA: How long will you retain data for this specific purpose?
(Required)
When the services are terminated or completed
Other period
How long?
(Required)
NEWSLETTER DATA: Please specify the types of data you collect
(Required)
A first and last name
Account name or alias
Physical address
An email address
A telephone number
Financial information such as bank account number or credit card number
NEWSLETTER DATA: How long will you retain data for this specific purpose?
(Required)
When the services are terminated or completed
Other period
How long?
(Required)
PRODUCTS OR SERVICES SUPPORT DATA: Please specify the types of data you collect
(Required)
A first and last name
Account name or alias
Physical address
An email address
A telephone number
Financial information such as bank account number or credit card number
PRODUCTS OR SERVICES SUPPORT DATA: How long will you retain data for this specific purpose?
(Required)
When the services are terminated or completed
Other period
How long?
(Required)
LEGAL OBLIGATION DATA: Please specify the types of data you collect
(Required)
A first and last name
Account name or alias
Physical address
An email address
A telephone number
Financial information such as bank account number or credit card number
LEGAL OBLIGATION DATA: How long will you retain data for this specific purpose?
(Required)
When the services are terminated or completed
Other period
How long?
(Required)
WEBSITE STATISTICS DATA: Please specify the types of data you collect
(Required)
A first and last name
Account name or alias
Physical address
An email address
A telephone number
Financial information such as bank account number or credit card number
WEBSITE STATISTICS DATA: How long will you retain data for this specific purpose?
(Required)
When the services are terminated or completed
Other period
How long?
(Required)
PERSONALIZED PRODUCTS AND SERVICES DATA: Please specify the types of data you collect
(Required)
A first and last name
Account name or alias
Physical address
An email address
A telephone number
Financial information such as bank account number or credit card number
PERSONALIZED PRODUCTS AND SERVICES DATA: How long will you retain data for this specific purpose?
(Required)
When the services are terminated or completed
Other period
How long?
(Required)
DELIVERIES DATA: Please specify the types of data you collect
(Required)
A first and last name
Account name or alias
Physical address
An email address
A telephone number
Financial information such as bank account number or credit card number
DELIVERIES DATA: How long will you retain data for this specific purpose?
(Required)
When the services are terminated or completed
Other period
How long?
(Required)
Third Parties
4. Do you collect or have you collected personal information about an individual that you bought or received from a third party?
(Required)
Note: BOUGHT or RECEIVED
Yes
No
5. Select which categories of personal data you have disclosed for a business purpose in the past 12 months:
(Required)
A first and last name
Account name or alias
Physical address
An email address
A telephone number
IP Address
Internet activity information, including, but not limited to, browsing history, search history, and information regarding a consumer’s interaction with an Internet Web site, application, or advertisement
Geolocation data
None of the above
6. Have you sold to Third Parties in the past 12 months?
(Required)
Note: SOLD
Yes
No
Which data:
(Required)
A first and last name
Account name or alias
Physical address
An email address
A telephone number
IP Address
Internet activity information, including, but not limited to, browsing history, search history, and information regarding a consumer’s interaction with an Internet Web site, application, or advertisement
Geolocation data
7. Do you share personal data with other parties?
(Required)
Yes [Limited: only with Processors/Service Providers that are necessary for the fulfillment of my service]
No
8. Do you want to enable Data Request Forms?
(Required)
Yes
No
