COVID-19 Small Business Impact & Recovery Survey
Dear Small Business Owners,

In conjunction with the Chinatown Rotary Club, CMP is conducting a survey to assess the impact of COVID-19 virus on small businesses in our community. The survey will also serve to determine the most responsive ways for us to help small businesses to recovery from the negative impacts of the pandemic.

Please take a moment to complete the attached survey as best as you can. The survey is anonymous but with the option to include your name and contact information for future services and follow-up.

It will take up 3 to 5 mins to fill out the form.

Thank you for your time.

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Sponsorship:
1. What kind of business do you operate? *
Required
2. If your answer to #1 is “Restaurant”, what kind of restaurant do you operate?
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3. If your answer to #1 is “Restaurant”, what is your restaurant’s seating capacity?
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4. Since January 1st 2020, has your business been temporarily shut down due to COVID-19? *
5. If answer to #4 is “Yes”, for what particular reason?  (Check all that apply)
6. Did your business face any of the following due to COVID-19 related reasons? *
Required
7. If your business suffers a decrease in revenue, what is the percentage change compared to same period of time in last year? *
8. Including yourself, how many employees did you have before January 1st 2020? *
9. Including yourself, how many employees do you have now? *
10. Between January 1st 2020 and now, did you have to make the following personnel changes?  (Check all that apply) *
Required
11. Has your business incurred or projected to incur any debt due to COVID-19 related reasons? *
12. If your business has incurred or projects to incur a debt, what is your estimated time frame to pay off the debt?
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13. Has your business applied for government or private relief/assistance programs? *
14. If your answer is “Yes” to #13, were you successful in getting the relief/assistance?
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15. If your answer is “Yes” to #14, how much did the relief/assistance program help your restaurant?  (Please check one from below.  On a scale of 1 through 5: 5 being the most helpful, and 1 being the least helpful)
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16. If your business was temporarily shut down, do you plan to re-open? *
17. If you plan to re-open your business or are still trying to make a decision, what do you need to overcome some of the obstacles?  (Check all that apply) *
Required
18. Would you be interested in a COVID-19 Testing Day that all your employees can be tested in one location and at no out-of-pocket cost to you or your employees? *
19. If your answer is “Yes” to # 18, what do you see are the benefits?  (Check all that apply)
20. If your answer is “No” to # 18, why?  (Check all that apply)
21. If your answer to # 18 is “Depending on date and time”, would weekdays or weekends be the most convenient to you and your employees?  (Check all that apply)
22. If your answer to # 18 is “Depending on date and time”, what will be the most convenient time for you and your employees?  (Check all that apply)
23. Would you be interested in attending training sessions that can help you with re-opening your business? *
24. If your answer is “Yes” to #23, what topic(s) are you interested in?  (Check all that apply)
25. If your answer is “No” to #23, why? (Check all that apply)
26. If your answer to #23 is “Maybe”, what will make you say “Yes”?  (Check all that apply)
27. If your answer to #26 is “If day, time, and location are convenient”, please indicate your prefer Day of Week for training to take place.  (Check all that apply)
28. If your answer to #26 is “If day, time, and location are convenient”, please indicate your prefer Time of Day for training to take place.  (Check all that apply)
29. If your answer to #26 is “If day, time, and location are convenient”, please indicate your prefer Location for training to take place.  (Check all that apply)
30. Would you be interested in a free consultation session with experts?  (Check all that apply) *
Required
31. Do you want us to contact you if the programs mentioned above become available?  If yes, please leave your contact information below - your name, business name (optional), phone number, email/Wechat/mailing address, etc.
32. Please let us know if there is anything else that you need to successfully re-open your business.      
33.  Please use the space below to tell us anything that we did not ask but you wish us to know.    
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