Assisting Your Business During COVID-19 Crisis

A State of Emergency has been proclaimed. That opens the door for funding from the federal and state government. However, we need to collect data and specific damages in order to make the argument for funding amounts.

In addition, we want to gather a picture of who is affected and to what degree. The following survey will only take about 3 minutes to complete. We will be asking some of these questions again at a later date when the impact is more severe. In the meantime, we still need to get a snapshot of your situation.

All information is CONFIDENTIAL.

Are you remaining open for business? *

Yes No

What are your hours of operation? *

What services are you providing? *

Number of employees prior to the pandemic? *

Number of employees laid off? *

Number of employees whose hours were/are cut? *

What were your business revenues during the affected damage period to date?

What were your business revenues during the SAME period of the prior year?

Do you own or rent your business establishment property? *

Own Rent

As a business owner, how many are in your family? *

As a business owner, can you collect unemployment benefits and if not, would that be helpful? How could you use that money? (personal bills,rent/mortgage, etc) *

Are the losses you are incurring now recoverable later? If not, why and if so, how long will it take you to recover? *

What messaging can we get out to chamber members and the public for you?

All information is confidential and will not be used specifically. However, if I have a question regarding your business, I would like the ability to personally call you. Please provide your contact information should I need clarification, again to be kept confidential. Thank you for your participation. Lynn, CEO

First Name *

Last Name *

Job Title *

Company Name *

Phone Number *

Email Address *

Assisting Your Business During COVID-19 Crisis

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