COVID-19 Virginia Production Impact Survey
Sign in to Google to save your progress. Learn more
Thank you for agreeing to take part in this important survey measuring the needs of the Virginia production industry during and after the COVID-19 pandemic. Your answers will help us understand the impact on the industry, to better serve our film community & industry partners now and in the future.  All responses will be kept in the strictest confidentiality. Please click below to accept the privacy policy. *
Required
First Name *
Last Name *
Your Business or Affiliated Organization Name (if applicable):
Position at Business or Affiliated Organization:
If you are an individual, please enter your job/position:
Describe your role in the industry if additional information is needed:
If you are representing a business or organization, please select the best fit category from the below list, or enter your field in the next question:
If you selected "other" above, please enter your business category:
To what degree has the COVID-19 crisis impacted you and/or your business/organization? *
Minimal disruption
Extreme disruption
If applicable, which relief benefits have you sought?
If you answered "other" or "grant" above, please elaborate:
If applicable, which relief benefits have you received to date?
Have productions you are working on been cancelled due to COVID-19?
Clear selection
If you are an employer, have you had to lay off staff or freelancers, or severely reduce hours?
Clear selection
If you are an employer, how many employees/regular contractors do you have?
Clear selection
If you are an employer and have had to layoff or severely reduce hours for staff or freelancers due to COVID-19, roughly how many employees/freelancers were affected to date?
If applicable, have you cancelled events or screenings?
Clear selection
Specifically, how has the COVID-19 crisis impacted your organization to date? Please select all that apply:
We know your business and livelihood have been acutely affected.  If you are comfortable doing so, please consider sharing any additional information you would like regarding how COVID-19 and the economic shutdown has affected you and/or your business/organization. Please share numbers/data if applicable, otherwise please share anecdotal information. We are collecting answers to best aid in advocacy & completeness of future recovery efforts.
Please share your immediate needs and priorities (information regarding how to navigate the CARES Act, additional resources, or otherwise):
Please share any additional pertinent information about which you feel it is important for the Virginia Film Office to be aware:
Please enter the date. The VFO will be tracking the submission date so feel free to take this again as needs and available information evolves.
MM
/
DD
/
YYYY
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report