DFW Service Industry: Owner/Operator Survey
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Email *
First name *
Last Name *
Address
Phone Number *
Highest level of education or training *
I am primarily a(n) *
Which of the following best describes what you own or operate? *
What best describes your organizational structure? *
Has your employment changed since March 2020? *
Have you had additional responsibilities added to your typical workload due to of lost staff/colleagues? *
Are you a financial stakeholder in your business (outside of your salary)? *
Do you have other assets or sources of income not impacted by the hospitality industry crisis? *
Do you have health insurance (though a spouse, yourself or other means?) *
Where applicable, please respond to the following queries with 1 concept/location in mind
Business name
Business's Zip Code *
What was the business's average weekly revenue? (prior to the pandemic)?
My business is now *
Which delivery services are you using? *
Required
How many staff does your business typically employ? *
How many staff, including yourself, has your business been able to retain at part-time hours or above? *
How many staff has your business retained on zero-hour schedules (without laying off)? *
What date did the employment status change for the majority of your staff? *
MM
/
DD
/
YYYY
Was your staff instructed to apply for unemployment benefits? *
Do you plan on rehiring the same staff if feasible? *
Are you or your company involved in any employee/industry welfare initiatives (free food pick-ups, SI discounts)? *
How long can your business last financially on its current revenue? (before you have to borrow money, etc.) *
Have you requested financial assistance? *
Required
How confident are you that your business with benefit from the federal stimulus package known as the CARES Act? *
Required
What do you consider to be the most significant change to your business model (i.e.how are you staying afloat)? *
What government policy/mandate has been the most helpful to your business? *
What government policy/mandate has been the most harmful to your business? *
What government policy/mandate/etc do you think would be the most integral to your business or industry survival?
Outside of financial stressors, how has this crisis affected you personally? *
Do you have any personal history with substance abuse (hard drugs or alcohol) prior to March 2020?
Clear selection
Has your consumption of drugs and/or alcohol changed since March 2020?
Clear selection
Can we add you to a list of community members interested in sharing more of their personal experience (interviews, follow-up surveys)? *
Any additonal comments
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