Medfield Small Business Survey
Please fill out this survey so we can identify and support the needs of our business community. The information will be public and will help us gain a better sense of how the Town can support the business community during this time.

Since the State of MA has imposed a no onsite consumption regulation on all common food and drink establishments, this data will help us share with residents what services local businesses are providing such as takeout options and hours of operation.

Please update our Medfield Open For Business Google Doc with details of your offerings as well:

https://docs.google.com/document/d/1DQBug89LLWhECfeILPVcpvcavAWJd3oJVb9Fk7WxiSI/edit?usp=sharing

We have enabled comments/suggestions feature on this document. We are encouraging both business owners/managers and customers to alert us of a change by adding a comment or suggestion to this document.

For questions about this survey, reach out to Sarah Raposa, Town Planner, at sraposa@medfield.net or 508-906-3027.
Sign in to Google to save your progress. Learn more
Email *
Name
Name of Business
Phone
Address
Website
Industry Type
Clear selection
Are you offering take-out, delivery, curbside pickup, etc?
List any delivery services you are offering:
Do you sell gift cards online? If yes, please provide link.
How can Town Hall support you during this time?
Size of business?
How long have you been in business?
Do you own or lease the space where your business operates?
Clear selection
Do you have business interruption insurance?
Clear selection
Do you have a disaster recovery plan in place for your employees (including a work-from-home policy, paid leave, etc.)?
Clear selection
Have you put another contingency plan in place for your employees? If so, what are you doing?
Have you noticed any issues with your supply chain or noticed any examples of price increases due to demand?
Clear selection
Please describe issues with your supply chain
Please describe what forms of assistance your business may need
Anything else you'd like us to know?
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Town of Medfield. Report Abuse