COVID Impact on Mom Owned Businesses
Mothers who own businesses face unique challenges as both mothers and businesses owners - especially during COVID.


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Age *
Highest education level completed? *
Is your business related to your degree? *
Required
Relationship Status *
Number of children *
Ages of Children (check all that apply) *
Required
How old were your children when you started your business? (check all that apply) *
Required
Are you typically the primary childcare provider? *
Are you primarily responsible for planning, prepping, and shopping for meals? *
Required
Will you be primarily responsible to managing your child(ren)'s distance learning? *
Are you primarily responsible for household tasks? (Cleaning, laundry, etc) *
Required
Are you partially or wholly responsible for caring for an older or disabled relative/family member? *
Required
Why did you start your own business? (check all that apply) *
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Background - check all that apply
How many businesses do you own? *
PRE-COVID what helped grow your business? (check all that apply) *
Required
During COVID have you needed assistance to make ends meet? *
If you have needed assistance to make ends meet, what has that looked like?
DURING COVID - what has helped grow your business? (check all that apply) *
Required
What challenges do you currently have in your business? (check all that apply) *
Required
Is your business your primary job? *
Did you apply for PUA (Pandemic Unemployment Assistance)? *
Were you approved for PUA (Pandemic Unemployment Assistance)? *
If you were approved PUA (Pandemic Unemployment Assistance) - have you received payment for ALL the weeks for which you applied?
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Is your business direct sales/network marketing? (Avon, Tupperware, Beachbody, etc)
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What industry is your business? (check all that apply) *
Required
Pre-COVID Is your business primarily *
DURING COVID Is your business primarily *
Has COVID caused you to change your hours? *
If you changed your hours, what was the cause?
How many years have you owned your business? *
Did your business experience a dip or slowdown or closure when COVID started? *
Do you feel as if your business has picked up again? *
Your yearly business gross income (PRE-COVID) *
Your expected yearly business gross income (DURING-COVID) *
PRE-COVID - Where do you find new clients? (check all that apply) *
Required
DURING COVID - Where are you finding new clients/customers? (check all that apply) *
Required
PRE-COVID - Percentage of household income your business  provides *
DURING COVID - Percentage of household income your business  provides *
Number of Employees (PRE-COVID) *
Number of Employees (DURING COVID) *
Number of independent contractors you employ? (PRE-COVID) *
Number of independent contractors you employ? (DURING COVID) *
On average, how many hours of sleep do you get each night? *
On average, how many hours of those hours are in a row? *
On average, how many hours per week do you spend working on your business? *
Required
How would you rate your daily stress level? *
No stress at all
Extremely stressed
Where does your stress come from? (check all that apply) *
Required
How are you managing your stress? (check all that apply) *
Required
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