1.Name

2.Email Address

3.Business or Organization

4.Has your co-op applied for an Emergency Injury Disaster Loan (EIDL)?

Yes

No

5.Was your application successful?

Yes

No

6.If your application was NOT successful, what was the reason?

7.Has your co-op applied with a private lender for a Paycheck Protection Program (PPP) loan?

Yes

No

8.Which lender did you use?

9.Was your application successful?

Yes

No

10.If your application was NOT successful, what was the reason?

11.Please share any challenges you faced during the application process:

12.Can we reach out to you to hear more about your experience?

Yes

No

13.Additional Comments/ Concerns