# Supplier assessment questionnaire template

By Veydra · Published 16 October 2026

Source: https://veydra.in/resources/supplier-assessment-questionnaire

An editable starting questionnaire with twelve questions, evidence prompts and a review record for a scoped supplier assessment.

Assessment reference: ____________________
Supplier / sites / activity: ____________________
Assessment period: ____________________
Assessment owner / reviewer: ____________________

## Use the questions that fit your assessment

This is a starting structure for collecting supplier responses and supporting evidence. It is designed for teams that already know what they need to assess, not as a universal list of compliance requirements.

Copy the questionnaire, remove questions that do not affect your decision and add the criteria that apply to the supplier’s activity. Define which answers require documents and who will review them. The Markdown download includes blank response and review fields; you can edit it in a text or Markdown editor.

No answers or supplier documents are submitted through this page. Keep completed questionnaires in your organisation’s approved workspace.

## Record the scope before sending it

- [ ] Assessment reference and purpose.
- [ ] Supplier legal name and the specific sites or activities covered.
- [ ] Assessment period and intended response date.
- [ ] Respondent name, role and contact route.
- [ ] Assessment owner and review owner.

## Twelve questions to adapt

### 1. Which legal entity, sites and supplied activities does this response cover?

Evidence prompt: Entity and site references that let the reviewer match later documents to this scope.

Supplier answer / not-applicable reason: ____________________
Evidence reference / version: ____________________
Reviewer / date: ____________________
Decision / reason: ____________________
Follow-up owner / action / date: ____________________

### 2. Who is responsible for this response, and who can answer follow-up questions?

Evidence prompt: A named role and contact route. Request personal information only where needed for the assessment.

Supplier answer / not-applicable reason: ____________________
Evidence reference / version: ____________________
Reviewer / date: ____________________
Decision / reason: ____________________
Follow-up owner / action / date: ____________________

### 3. Which assessment period do the answers and supporting records cover?

Evidence prompt: Start/end dates or another explicit period for each relevant record.

Supplier answer / not-applicable reason: ____________________
Evidence reference / version: ____________________
Reviewer / date: ____________________
Decision / reason: ____________________
Follow-up owner / action / date: ____________________

### 4. Which of the requested requirements do you consider not applicable, and why?

Evidence prompt: A reason tied to the supplied activity or site, rather than an unexplained blank answer.

Supplier answer / not-applicable reason: ____________________
Evidence reference / version: ____________________
Reviewer / date: ____________________
Decision / reason: ____________________
Follow-up owner / action / date: ____________________

### 5. Which policies or procedures support the requirements we have identified?

Evidence prompt: Relevant sections, document owner, version and scope; avoid requesting unrelated policy libraries.

Supplier answer / not-applicable reason: ____________________
Evidence reference / version: ____________________
Reviewer / date: ____________________
Decision / reason: ____________________
Follow-up owner / action / date: ____________________

### 6. Which certificates, consents or other documents are relevant to this assessment?

Evidence prompt: Only the records your team has identified as applicable, with entity, scope, issuer and dates where available.

Supplier answer / not-applicable reason: ____________________
Evidence reference / version: ____________________
Reviewer / date: ____________________
Decision / reason: ____________________
Follow-up owner / action / date: ____________________

### 7. What operating records support the statements made in this response?

Evidence prompt: Period-specific records or excerpts linked to the relevant answer, with the source identified.

Supplier answer / not-applicable reason: ____________________
Evidence reference / version: ____________________
Reviewer / date: ____________________
Decision / reason: ____________________
Follow-up owner / action / date: ____________________

### 8. Have the assessed sites, processes or responsible owners changed during the stated period?

Evidence prompt: What changed, when it changed and which answers or records are affected.

Supplier answer / not-applicable reason: ____________________
Evidence reference / version: ____________________
Reviewer / date: ____________________
Decision / reason: ____________________
Follow-up owner / action / date: ____________________

### 9. Are any requested documents missing, out of date or still being prepared?

Evidence prompt: The gap, its owner and the expected next update. Do not substitute an unrelated document.

Supplier answer / not-applicable reason: ____________________
Evidence reference / version: ____________________
Reviewer / date: ____________________
Decision / reason: ____________________
Follow-up owner / action / date: ____________________

### 10. Are there open findings or corrective actions relevant to these requirements?

Evidence prompt: The finding, responsible owner, next action and the evidence expected for closure.

Supplier answer / not-applicable reason: ____________________
Evidence reference / version: ____________________
Reviewer / date: ____________________
Decision / reason: ____________________
Follow-up owner / action / date: ____________________

### 11. What limits or qualifications should the reviewer understand before using these answers?

Evidence prompt: Uncertainty, exclusions, unconfirmed information or boundaries on the supporting records.

Supplier answer / not-applicable reason: ____________________
Evidence reference / version: ____________________
Reviewer / date: ____________________
Decision / reason: ____________________
Follow-up owner / action / date: ____________________

### 12. Has an authorised respondent reviewed the submission and identified any remaining uncertainty?

Evidence prompt: Respondent identity, review date and confirmation of the stated scope. This is an attestation, not independent verification.

Supplier answer / not-applicable reason: ____________________
Evidence reference / version: ____________________
Reviewer / date: ____________________
Decision / reason: ____________________
Follow-up owner / action / date: ____________________

## Add a review record for each answer

The supplier’s answer and your team’s conclusion are separate records. Add an evidence reference, the reviewer, the review date, a decision and its reason. Keep missing information visible rather than converting it to a positive result.

- [ ] Answer or not-applicable explanation.
- [ ] Supporting evidence reference and version.
- [ ] Reviewer and review date.
- [ ] Decision and reason.
- [ ] Follow-up owner, requested action and date, where needed.

## Make follow-up specific

Ask for the missing fact, scope or record. “Please resubmit” often produces the same uncertainty. A precise request tells the supplier what needs to change and which assessment question it relates to.

### Illustrative follow-up

For question 6, the uploaded document names Facility A, but your response covers Facilities A and B. Please provide a record covering Facility B, or explain why it is outside the assessment scope.

## Final review

- [ ] Scope and review period are explicit.
- [ ] Conclusions link to the reviewed evidence.
- [ ] Open findings have an owner and next step.
- [ ] The assessment decision and its reason are recorded.

Final decision / conditions: ____________________
Decision owner / date: ____________________

Veydra · https://veydra.in
