Exit Coronavirus Association Check-In Question Title * 1. How worried are you about the impact of coronavirus on you personally? Extremely worried Very worried Somewhat worried Not so worried Not at all worried Question Title * 2. How would you rate the impact of coronavirus on your company? Significant Impact Moderate Impact Some impact No impact Question Title * 3. Have you reduced staffing because of coronavirus? Yes No Question Title * 4. If you had a change in staffing, are they willing to return to work? Yes No, because of fear of the virus No, because of childcare No, because they are sick or a family member is sick None of the above Other (please specify) Question Title * 5. What are the TOP THREE biggest challenges your business is currently facing while working through the pandemic? General anxiety about the impact of coronavirus on my business Social Isolation Adequate Staffing Securing Pandemic Relief Funds Getting Answers to Pandemic Related Questions Communication with State or Municipal Agencies (i.e. building departments) Product or Equipment Availability Childcare Access to Customer's Homes Acquiring PPE Other (please specify) Question Title * 6. Thinking about your current business activity, how long is this something you could comfortably maintain without making significant changes? It’s not sustainable now A few weeks About a month Two months Three or more months Nothing has changed for my business Other (please specify) Question Title * 7. How often would you like to receive CHCC communication? Every day Once a week Once a month As needed Other (please specify) Question Title * 8. Are you a CHCC Member? (Please note all employees of the Member Company are considered members). Yes No, but I am interested in joining No, I am not interested Other Question Title * 9. How confident are you that you have the right resources and benefits to help support you through this period? Extremely confident Very confident Somewhat confident Not so confident Not confident at all Question Title * 10. If you could ask the State of Connecticut a question regarding this pandemic, what is your single greatest pandemic related concern right now? Done
