1. What payment terms do you allow your customers, on average? (your Contractual Payment Terms)  
 
1a. Consumer (B-2-C) * 
 
days
1b. Corporate (B-2-B) * 
 
days
1c. Public Sector * 
 
days
2. What is the average time that your customers actually take to pay your invoices?  
 
2a. Consumer (B-2-C) * 
 
days
2b. Corporate (B-2-B) * 
 
days
2c. Public Sector * 
 
days
3. Approximately how are your debtors spread (by amount owed) over the following categories?  
 
Age of claim:  
 
3a. up to 30 days * 
 
%
3b. 31 to 60 days * 
 
%
3c. 61 to 90 days * 
 
%
3d. 91 to 120 days * 
 
%
3e. 121 to 180 days * 
 
%
3f. over 180 days * 
 
%
4. If any, what was your bad debt loss in 2009 as % of your total yearly revenue?  
 
Please give your written off percentage on oustanding invoices that never will be paid to you (between 0% and 10%) * 
 
5. How do you see risks from your company’s debtors developing during the next 12 months?  
 
Please choose one of these fields. * 
 
 
 
 
6. On a scale of 0 to 5 (where 0 = no impact and 5 = high impact) how do you rate the consequences of late payments for your company with regard to?  
 
where 0 = no impact and 5 = high impact * 
 
  0  1  2  3  4  5