Business Assistance Survey | COVID-19
The Chamber, GREDF and the District are trying to determine how our organizations can best assist our members during this unprecedented event.  In order to most effectively do that we would ask that you complete this short survey.  If there are specific needs, please reach out to one of us. All responses to the survey would be aggregated and no individual information will be shared.

Latonya Brock latonya@quincychamber.org 
Bruce Guthrie bguthrie@thedistrictquincy.com 
Marcel Wagner wagnerm@gredf.org 

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Email *
What is your company's primary industry?  (NAICS Code if known) *
What is your current operating status? Is your business on the list of essential businesses? *
What are the specific needs of your business due to COVID 19? | Immediate Needs
What are the specific needs of your business due to COVID 19? | Two Weeks From Now
What are the specific needs of your business due to COVID 19? | One Month & Beyond
Facility is operating at _____% capacity *
What % of your employees are able to work remotely? *
Did your business close voluntarily?  Date_________________
Is your business able to receive supplies and/or needed services? *
Is your business maintaining normal shipping patterns? *
Number of employees HIRED due to COVID 19 *
Number of employees FURLOUGHED due to COVID 19 *
Number of employees LAID OFF due to COVID 19 *
Is your business compensating employees unable to work or providing any other assistance? *
a. _____% of PAID Employees unable to work at this time. *
b. _____% of UNPAID Employees unable to work at this time. *
c. If paid, number of days / weeks of pay for employees unable to work at this time.
Can you estimate the change (+ or -) in weekly revenue as a result of Covid-19? *
Does your business have standing lines of credit to cover any business interruption? Have you had discussions with your bank? *
Would you be interested in an SBA Economic Injury Disaster Loan or other assistance when it becomes available?   - Contact the Chamber, GREDF or the District for information regarding these programs. *
Could your business take advantage of any of the following post-crisis? *
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