Carbon footprint pre-assessment
<form id="preassess-form-en" class="preassess-form">
<div class="form-grid">
<label>
Company name (optional)
<input type="text" name="company" placeholder="Acme Ltd">
</label>
<label>
Email (to receive the result, optional)
<input type="email" name="email" placeholder="name@company.com">
</label>
<label>
Sector
<select name="sector" required>
<option value="" disabled selected>Select</option>
<option>Manufacturing</option>
<option>Energy / Utilities</option>
<option>Services</option>
<option>Logistics / Transport</option>
<option>Food & Agri</option>
<option>ICT</option>
<option>Other</option>
</select>
</label>
<label>
Main country
<input type="text" name="country" placeholder="Italy" required>
</label>
<label>
Annual revenue
<select name="revenue" required>
<option value="" disabled selected>Select</option>
<option>< €5M</option>
<option>€5–20M</option>
<option>€20–100M</option>
<option>€100–500M</option>
<option>> €500M</option>
</select>
</label>
<label>
Employees
<select name="employees" required>
<option value="" disabled selected>Select</option>
<option>< 50</option>
<option>50–250</option>
<option>250–1,000</option>
<option>> 1,000</option>
</select>
</label>
<label>
Electricity use (kWh/year)
<input type="number" name="electricity" min="0" step="1000" placeholder="100000" required>
</label>
<label>
Natural gas (Smc/year)
<input type="number" name="gas" min="0" step="100" placeholder="50000">
</label>
<label>
Fleet fuels (litres/year)
<input type="number" name="fuels" min="0" step="100" placeholder="20000">
</label>
<label>
Main output (units/year, optional)
<input type="text" name="output" placeholder="e.g. 1,000 t product">
</label>
</div>
<label class="consent">
<input type="checkbox" name="consent" required>
I consent to processing these data to receive the preliminary estimate (see Privacy Policy).
</label>
<div class="form-actions">
<button type="submit" class="btn btn-primary">Send & calculate</button>
<p class="helper">You’ll see a preliminary estimate on screen. The full calculator will be activated soon.</p>
</div>
</form>