Please tell us what industry category best fits your business:
Choose
Agriculture
Automotive
Business Support & Supplies
Computers & Electronics
Construction & Contractors
Education
Food & Dining
Health & Medicine
Home & Garden
Legal & Financial
Manufacturing, Wholesale, Distribution
Nonprofit
Personal Care & Services
Professional Services
Real Estate
Recreation/Entertainment
Retail
Travel & Transportation
Other
How long have you been in business?
Clear selection
How many people did you employ full-time prior to March 1, 2020?
Clear selection
How many people did you employ part-time prior to March 1, 2020?
Clear selection
Is your business considering employee layoffs?
Clear selection
If you answered yes above, please share the number of full-time and part-time employees you are considering laying off. (Example: 3 FT, 2 PT)
Your answer
Do you know if those layoffs will be temporary (1 month or less), or long term (more than 1 month)?
Clear selection
Has your company implemented a work-from-home or similar policy because of the COVID-19 outbreak?
Clear selection
Please estimate any revenue decline you have noticed since March 1, 2020?
Choose
0%
>10%
10-20%
21-30%
31-40%
41-50%
51-60%
61-70%
71-80%
81-90%
91-100%
In your words, what does this revenue decline mean for your business?
Your answer
How long can your business sustain operations in this current business climate without financial assistance?
Clear selection
Looking to the future, how long do you think it would take your business to get back to “business as usual”?
Clear selection
How is the COVID-19 pandemic impacting your short-term (2020) business strategy? (Check all that apply)
What is the most difficult challenge your business is facing at this time?
Your answer
What kind of assistance from local, state or federal government would be most helpful to your business?
Your answer
What do you see as helpful ways the community can support your business at this time?
Your answer
Which of the following resources would be most helpful for your business at this time? Please select all that apply.
What type of assistance does your business need during this crisis? (Please check all that apply)
What else would you like to share with us about the impact COVID-19 has on your business:
Your answer
Contact information provided will only be used for data organization and follow-up if clarification is needed. (Company, City/Town, Contact Name, Phone Number)
Your answer
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