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COVID-19 Business Impact Survey

 
Thank you for taking the time to share information about your business to help us understand the impact of COVID-19. The information you submit will be kept confidential. Please click here for additional information on programs available to individuals, families, and businesses affected by COVID-19.

Name (First, Last):


Business Name:

Business Address:

City or Town:

State or Province:

Business Zip or Postal Code:

Email:


Phone:

Have you experienced any impact on your business from COVID-19?
Yes
No

If so how?


Is your business offering any special discounts or promotions during this time?
Yes
No

If yes, please explain.


In a few words, tell us your most important business needs:




Please estimate the percentage of decrease in revenue you have experienced due to COVID-19 since March 1st, 2020.


Have you decided to reduce your hours or close your business temporarily?


Are you starting new programs and services such as curbside pickup?
Yes
No

If yes please explain:

If you are facing, or have already needed to lay off, how many employees will that affect?


Are you currently hiring employees due to an increase in business?
Yes
No

Comments: