Help for Uptown businesses during COVID-19
LHENA and concerned neighbors want to help our local businesses at this time. Help us inform the community about the status of your operations during the CoVID 19 emergency. And let us know of your other needs right now, and connect with a network of other Uptown businesses and neighbors working together to make it through.
Sign in to Google to save your progress. Learn more
Email *
Your name (or name of point of contact)
Phone number
I prefer to be contacted by
Name of Business *
Are you currently open? *
If open, how are you interacting with customers? Mark all that apply.
If you are offering services online, where can people register / find you?
Are you providing donation services to those in need?
Clear selection
If you are providing donation services, what support can neighbors provide?
If you are providing donation services, how can neighbors make use of these services at this time?
Any final comments / questions / concerns / needs:
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms