Covid-19 Business Impact Survey
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電子郵件 *
Business Name *
Main Contact's Name *
Main Contact's Phone Number *
Has your business or organization halted any operations due to COVID-19? *
If yes, please briefly describe what measures you have had to take.  (example: We have closed our inside dining and only allow curbside pickup)
Approximately how long can your business remain open at current operating levels?   *
How many full-time employees do you have on staff?   *
How many part-time employees do you have on staff?   *
Have they been effected by changes in operations?  If so, how? *
Has your business felt monetary impact?  If so, what is the dollar amount or percentage? *
As we are helping to inform state and federal agencies, what is your greatest need at the moment? *
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這份表單是在 Bainbridge-Decatur County Chamber of Commerce 中建立。 檢舉濫用情形