COVID-19 Business & Workforce Survey

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Name (Optional)

Email (Optional)

Business/Organization (Optional)

Which of the following best describes your industry?

Business Professional Service

Financial/ Banking

Health and Wellness

High Tech

Manufacturing

Media Production/ Distribution

Nonprofit

Personal Care Service

Restaurant/Bar

Retail

Other

Clear selection

Is your business currently open?

Yes

Clear selection

Have you seen any direct impact to your supply chains?

Yes

Clear selection

If yes, what impacts have you observed?

In the past week, sales in my business have:

Increased

Remained Flat

Decreased by less than 10%

Decreased by 10-30%

Decreased by 31-50%

Decreased by more than 50%

Clear selection

What percentage of your total workforce have you laid off or furloughed?

None at this time

1-10%

11-30%

31-50%

More than 50%

Clear selection

What percentage of your total workforce do you expect to lay off over the next two weeks?

I do not expect to lay off any employees

1-10%

11-30%

31-50%

More than 50%

Clear selection

Are you using any work share or time share arrangements for workers?

Yes

Clear selection

Comments on workforce impact:

Have you visited the Business Resource Hub? longmont.org/covid-19

Yes

Clear selection

Are you planning on applying or already opened an application for an SBA Economic Injury Disaster Loan?

Yes, I have already applied

Yes, I have opened an application

Yes, but I need help

No, but I intend to

No, and I do not intend to

Clear selection

If any grant funding could be made available, how much, if any, would you seek in funds to cover employee salaries, rent, or operating expenses?

$0 - $1,000

$1,000 - $3,000

$3,000 - $5,000

$5,000 - $10,000

$10,000 +

Clear selection

What would you use grant funding for?

Employee Salaries & Benefits

Rent

Operating Expense

Purchase New Equipment/ Supplies

Other:

Comments on loans, funding, or available resources:

Which of the following organizations/ associations are you members of? Select all that apply.

Longmont Area Chamber of Commerce

Longmont Downtown Development Authority

Longmont Economic Development Partnership

Which of the following best describes the location of your business?

Downtown Longmont

South Main St./ Harvest Junction

North Main St.

South West/ Village at the Peaks

North West/ 17th & Hover

South East/ Fox Hill

North East/ 17th & Pace

Industrial Parks

Outside of the City of Longmont

Clear selection

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