Covid 19 Response Questionnaire
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Email *
Business Name *
Address *
Phone Number *
Please let us know what industry you represent. *
What are the immediate implications to your business from COVID-19?  Select all that apply.   *
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 If your business is being impacted, please check all that apply. *
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As concerns grow over the spread of COVID-19, what is your company doing to address the issue? (Please check all that apply) *
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If hours of operation have changed, please share  below *
If you're a restaurant please check the following that apply to your business. *
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Please rank the items you are most worried about right now as it related to your business.    From 1 to 7. List the Most important to least important. Cash flow, Inventory, Workplace, Childcare, Accounts Receivable, HR benefits, Legal Concerns. Answer below                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             *
Do you need information on Small business loans and grants available? *
Please indicate what size business or organization you represent *
Please let us know how the Perquimans Chamber of Commerce can best support you during this time *
Do you have any comments or suggestions how the local, state and federal government can help your business ? *
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