Business and Service Recovery Survey
There’s no denying that COVID-19 has taken a devastating toll on the business and service sector. It is evident that business and services have suffered; as the post-pandemic recovery process slowly begins, the unmet needs of your operation must be addressed. The Naugatuck Valley Health District is looking to assess in real, quantifiable measures exactly where the damage has occurred, and just how big a role COVID-19 played in facilitating it. By participating in this survey, you are advocating not only for your institution, but for the Valley community that depends on, and benefits from, your services.

NVHD’s ultimate goal in this effort is to help you recover; the more data we are able to gather on the obstacles your business faces, the more acute and effective the support we provide will be. It’s not enough to simply survive in the wake of COVID-19; efforts must be made to heal and thrive again.

Please lend us your input by completing this survey, it should only take you about 15 minutes to complete. You are an integral part of the Valley community, and your success is our success.

Thank you for your time.

Sign in to Google to save your progress. Learn more
Business/ Service Demographics
Business/ Service Type: *
Number of Locations, as of March 1, 2020. *
Office Locations, as of March 1, 2020? *
Required
Office Locations, as of today? *
Required
What was the approximate population served, as of March 1, 2020? *
What is the approximate population served, as of today? *
How many years has your business or service been in operation? *
Pandemic operation Changes
Did your organization reduce operating hour due to the pandemic? *
Did your organization close for a period of time due to the pandemic and for how long? *
Did you close for any of these purposes? *
Required
Did you need to make any payroll reductions due to the pandemic? *
1-5%
6-10%
More than 10%
Not applicable
Cut Staff Hours- by how much?
Cut Staff Pay- by how much?
Did you need to make any staff reductions due to the pandemic? *
Pandemic Information & Support
How familiar would you consider yourself to be with the COVID-19 rules for your business? *
1- Not at all Familiar     2- Somewhat Familiar      3- Very Familiar    4- Extremely Familiar
Not at all Familiar
Extremely Familiar
How familiar would you consider your staff to be with the COVID-19 rules for your business sector? *
1- Not at all Familiar     2- Somewhat Familiar      3- Very Familiar    4- Extremely Familiar
Not at all Familiar
Extremely Familiar
From where did you receive your initial information regarding the rules for your business sector? *
Required
From where did you receive updates to the rules for your sector? *
Required
If you had a question regarding your sector rules, who did you contact? *
Required
Did your organization appoint a COVID-19 Liaison? *
What would you consider your sector a business or service? *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms