Business Impact Survey - Republic County
All Republic County businesses are asked to complete the following anonymous survey. The survey will help Republic County Economic Development and our resource partners assess the economic outlook of businesses. The survey is very easy and will only take a few minutes at most.  Thank you for your time!
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Business Zip Code *
What type of business do you operate? *
Where do the majority of your customers reside? *
Is your business impacted by the travel and tourism industry? *
How has your business responded to COVID-19? *
If the current business climate were to continue, how long would it take for your business to see significant negative impacts, such as layoffs or temporary or permanent closure? *
If already closed permanently what were the specific factors that lead to the closure? *
How has your business revenue changed since COVID-19 became a local concern in Mid-March? *
How many employees (including yourself) did you have on March 1, 2020 *
How many employees (including yourself) did you have on June 1, 2020? *
How many employees are at risk of being laid-off?
What financial assistance have you applied for? *
Required
What financial assistance have you received? *
Required
At this time, what are you most concerned about? (please choose all that apply)
Please rank which types of assistance would be most helpful to your business. (1 being least helpful; 5 being most helpful) *
1
2
3
4
5
Information on how to protect my employees from COVID-19
Supplies to protect my employees from COVID-19
Information on how to protect my customers from COVID-19
Low or no-interest loans
Grants or forgivable loans
Penalty-free extensions on expenses such as rent, utilities, supplies, inventory
Business model re-design
Shop local campaign
Technical assistance with marketing
Technical assistance with e-commerce
New product development
If not listed, what other assistance would be the most beneficial at this time?
If the Governor lifts the stay-at-home orders but social distancing requirements are still in place, including 6 feet between customers/employees and less than 10 people allowed in your business at any one time, would your business: *
If your business is remaining open (either full access or on a restricted basis), will you require your employees and customers to wear masks while social distancing requirements are still in place? *
Do you have access to masks (homemade or otherwise) for your employees and customers? *
Looking ahead over the next 3-6 months, the biggest FEAR I have for my business is:
Looking ahead over the next 3-6 months, the biggest NEED I have for my business is:
The current outlook for my business over the next year is:
Clear selection
Is there any other information you would like to share with us?
If you would like to be contacted about available assistance, please leave your name and contact information here. If you want to remain anonymous in this survey, you can send a separate email to rced@nckcn.com instead.
Thank you for taking the time to complete the survey!
This data will remain anonymous and will help guide RCED and our partner's resources during COVID-19 for our business community.
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