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* 1. How would you rate the affect COVID-19 is having on your business (1-low / 10-high) ?

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* 2. Please tell us when COVID-19 began to affect your business?

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* 3. Estimate the decrease in revenue that your business has experienced due to COVID-19.

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* 4. How do you anticipate this will affect you financially compared to 2019?

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* 5. As concerns grow over the spread of COVID-19, what, if anything is your company doing to address these issues? (Please check all that apply)

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* 6. What suggestions do you have for relief that you'd like to see most urgently?

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* 7. Which of the following industries most accurately describes the majority of your company's businesses?

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* 8. Which of the following ranges best describes your company's annual revenue?

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* 9. What is your best estimate of how many employees your company has, including all locations?

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* 10. Where is your business located?

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* 11. Additional Comments

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