COVID-19 Business Impact Survey

Question Title

* 1. Contact Information

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

Question Title

* 2. Have you experienced any impact on your business from COVID-19?

Yes

Question Title

* 3. Is your business impacted by the travel and tourism industry? Which industry is your business in?

Question Title

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

<10%

11%-20%

21%-30%

31%-40%

41%-50%

51%-60%

61%-70%

71%-80%

81%-90%

91%-100%

Question Title

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

Reduced Hours

Close Temporarily

Close Permanently

Not Closing or Reducing Hours

Other (please specify)

Question Title

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

1-5

6-10

15+

Question Title

* 7. Are you currently hiring employees due to an increase in business?

Yes

Question Title

* 8. Would you like to receive additional information on financial assistance related to COVID-19?

Yes

COVID-19 Business Impact Survey

Question Title

* 1. Contact Information

Question Title

* 2. Have you experienced any impact on your business from COVID-19?

Question Title

* 3. Is your business impacted by the travel and tourism industry? Which industry is your business in?

Question Title

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

Question Title

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

Question Title

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

Question Title

* 7. Are you currently hiring employees due to an increase in business?

Question Title

* 8. Would you like to receive additional information on financial assistance related to COVID-19?

Question Title

* 9. What addition assistance would you like the Village to provide to you?