Aloha mai kākou!

We humbly ask that you participate in our Restaurant and Small Business Maui Fire Relief and Economic Impact Survey. Please answer these questions as honestly and accurately as possible to help us convey this vital data to county and state officials. Your responses will be crucial in helping shape long term emergency infrastructure moving forward, and secure funding for the months to come. This detailed survey will cover your role in the weeks following the Maui fires, and the economic impact you are currently experiencing. Privacy guaranteed, will only share business numbers with necessary parties. Mahalo for your time, wishing you strength and aloha.
Mahalo nui loa, 
Lee Anne Wong
Executive Chef, Papa'aina at the Pioneer Inn
Industry Advisor, Common Ground Collective  

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* 1. Name of Restaurant/Business

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* 2. Business Address

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* 3. Email Address

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* 4. Phone Number

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* 5. My restaurant/business is located in

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* 6. Type of business

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* 7. What is your food demographic/culture?

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* 8. Does your business have multiple locations for production/operation?

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* 9. My restaurant/business:

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* 10. Have you or your business been involved in the emergency food relief effort since August 8th?

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* 11. Did you suspend your normal business to volunteer in the food relief effort?

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* 12. Have you donated your services, product, or space/resources toward the food relief effort?

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* 13. Has your place of business been used to prepare hot meals?

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* 14. At any point in time have you been compensated for meal preparation by a NGO non profit group?

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* 15. Have you been able to secure donations of food and non perishable items? 

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* 16. Estimated money spent overall on food relief efforts (supplies, labor, overhead, etc)?

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* 17. Are you interested in being contacted to assist in Emergency Food Relief?

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* 18. Do you have access to transportation?

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* 19. What are your volume capabilities?  

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* 20. Which meal services can you provide? How many per service? (Select all that apply)

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* 21. Are you receiving financial/rent relief/abatement from your landlord for your business?  

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* 22. Are you currently seeking money via crowdfunding, sponsorship, or other means (nonprofit, private donor, etc) ?

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* 23. Are you currently seeking funds via banking and/or govt financial assistance programs?  

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* 24. Are you currently carrying any financial loans or had you received any grants or federal aid as a result of COVID shutdowns?

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* 25. Are you eligible for financial aid currently?

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* 26. What are your total weekly operating costs to keep your doors open for food relief operations? (Write N/A if it does not apply)

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* 27. What are your total weekly operating costs to keep your doors open for regular business operations for the public? (Write N/A if it does not apply)  

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* 28. If you close your business temporarily, how many employees would be laid off/furloughed?

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* 29. If you close your business temporarily, what would reopening costs be estimated at?  

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* 30. What are your estimated business loss since August 8th, 2023?

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* 31. Have you seen your existing business increase since the Maui fires? If so, please elaborate:

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* 32. What is your most immediate need/request?

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* 33. Do you need additional assistance connecting with resources for financial aid?  

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* 34. Would you be interested in participating in a "Maui Is Open" social media campaign?  

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