COVID19 RECOVERY – WATERTOWN SMALL BUSINESS SURVEY Question Title * 1. Name: Question Title * 2. Business name: Question Title * 3. Business address (street, town, zipcode): Question Title * 4. Operating hours: Question Title * 5. Contact phone number: Question Title * 6. Contact email: Question Title * 7. Webpage: Question Title * 8. Facebook/Instagram: Question Title * 9. What type of business do you operate? food & dining hospitality retail FIRE (finance, insurance or real estate) service knowledge/media production research & development personal care/body work services fitness & recreation transportation automotive services construction storage/warehousing manufacturing energy/utilities Other (please specify) Question Title * 10. Does your business offer, or plan to offer in the near future, take-out, curbside pickup or delivery service? Yes, take-out Yes, curbside pick up Yes, delivery Yes, all three No Other (please specify) Question Title * 11. Do you sell gift cards online? If yes, please provide shareable link or info on how someone can purchase one from you. Question Title * 12. How can your local community support you to resume regular business operations as soon as possible? Question Title * 13. Please describe the size of your business, in terms of revenue and employees Less than 6 employees 6-10 employees 11-20 employees 21-50 employees 51-100 employees 101-250 employees 251+ employees Less than $100,000 annual revenue $100,000 - $250,000 annual revenue $250,001 - $500,000 annual revenue $500,001 - $1,000,000 annual revenue $1,000,001 - $2,500,000 annual revenue $2,500,001 - $5,000,000 annual revenue $5,000,001+ annual revenue Other (please specify) Question Title * 14. What percentage of your work force works remotely (from home), or can work remotely? Question Title * 15. How long has your business been in operation? Question Title * 16. Do you own or lease your place(s) of business? Question Title * 17. Do you have Business Interruption Insurance? Question Title * 18. Do you have a Disaster Recovery Plan in place for your business? Question Title * 19. Do you have contingency plans in place for supporting your employees in case of business closure? Question Title * 20. Since the onset of COVID19-related restrictions, how has your business activity changed? 0 – 10% drop in revenue 11 – 30% drop in revenue 31 – 50% drop in revenue 51 – 70% drop in revenue 71 – 90% drop in revenue More than 91% drop in revenue Revenue has increased Other (please specify) Question Title * 21. Since the onset of COVID19-related restrictions, how has your business activity changed? Less than $5,000 drop in revenue $5,001 - $10,000 annual revenue $10,001 - $25,000 annual revenue $25,001 - $50,000 annual revenue $50,001 - $100,000 annual revenue $100,001 - $250,000 annual revenue $250,000+ drop in revenue Other (please specify) Question Title * 22. Has the COVID19 epidemic affected your supply chain through price increases or supply interruption for materials/services required to operate your businesses? No Yes (please describe): Question Title * 23. Do you have sources of credit or other resources to cover revenue losses due to business interruption from the COVID19 epidemic? Question Title * 24. Have you contacted lenders or other sources of credit for financial assistance to cover revenue loss/business interruption from the COVID19 epidemic? Yes No, not yet Unnecessary Lenders have not been responsive Question Title * 25. If your business is closed due to COVID19 epidemic, what sort of help do you require to resume business operations? technical assistance employee assistance best practices information financial assistance assistance referrals Other (please specify) Question Title * 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? Question Title * 27. What are your top three (3) concerns for the future, in terms of local, state and national economic trends? Topic 1: Topic 2: Topic 3: Question Title * 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! Done