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* 1. Name:

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* 2. Business name:

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* 3. Business address (street, town, zipcode):

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* 4. Operating hours:

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* 5. Contact phone number:

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* 6. Contact email:

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* 7. Webpage:

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* 8. Facebook/Instagram:

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* 9. What type of business do you operate?

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* 10. Does your business offer, or plan to offer in the near future, take-out, curbside pickup or delivery service?

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* 11. Do you sell gift cards online? If yes, please provide shareable link or info on how someone can purchase one from you.

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* 12. How can your local community support you to resume regular business operations as soon as possible?

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* 13. Please describe the size of your business, in terms of revenue and employees

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* 14. What percentage of your work force works remotely (from home), or can work remotely?

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* 15. How long has your business been in operation?

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* 16. Do you own or lease your place(s) of business?

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* 17. Do you have Business Interruption Insurance?

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* 18. Do you have a Disaster Recovery Plan in place for your business?

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* 19. Do you have contingency plans in place for supporting your employees in case of business closure?

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* 20. Since the onset of COVID19-related restrictions, how has your business activity changed?

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* 21. Since the onset of COVID19-related restrictions, how has your business activity changed?

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* 22. Has the COVID19 epidemic affected your supply chain through price increases or supply interruption for materials/services required to operate your businesses?

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* 23. Do you have sources of credit or other resources to cover revenue losses due to business interruption from the COVID19 epidemic?

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* 24. Have you contacted lenders or other sources of credit for financial assistance to cover revenue loss/business interruption from the COVID19 epidemic?

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* 25. If your business is closed due to COVID19 epidemic, what sort of help do you require to resume business operations?

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* 26. If you have had to reduce the number of your employees due to COVID19 revenue loss, do you plan on making these reductions permanent?

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* 27. What are your top three (3) concerns for the future, in terms of local, state and national economic trends?

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* 28. Do you have any other thoughts about your business operations in the face of the COVID19 epidemic?

THANK YOU FOR ANSWERING THIS SURVEY – WE APPRECIATE YOUR ASSISTANCE!

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