City of Waupun COVID-19 Business Impact Survey

The City of Waupun is committed to supporting our business community during this difficult time. Please fill out this survey so we can identify and support the needs of our business community.

Thank you in advance for taking the time to complete this survey. If you have any questions, please contact:

Sarah Van Buren, AICP
Community & Economic Development Coordinator
sarah@cityofwaupun.org
(920) 345-1656

Question Title

* 1. Business Name

Question Title

* 2. Owner Contact

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

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* 3. What type of business do you operate?

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* 4. Can you tell me about the current status of your business and how it is being impacted? Please select one.

Other (please specify)

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* 5. Thinking about your immediate situation (next 4 weeks), what needs/challenges will you need to overcome in your business? Check all that apply.

Inability to meet payroll

Inability to make rent/mortgage payments

Inability to pay accounts/payable

Inability to make utility payments

Inability to pay other expenses - please note in "comment" box

Comment field

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* 6. If known, what do you expect your monthly expenses for your business to be during this time period?

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* 7. Are you aware of the SBA (Small Business Administration) Economic Injury Program that was announced this week?

Yes

Question Title

* 8. What is the best way to contact you in the future?

Email Address

Phone Number

Question Title

* 1. Business Name

Question Title

* 2. Owner Contact

Question Title

* 3. What type of business do you operate?

Question Title

* 4. Can you tell me about the current status of your business and how it is being impacted? Please select one.

Question Title

* 5. Thinking about your immediate situation (next 4 weeks), what needs/challenges will you need to overcome in your business? Check all that apply.

Question Title

* 6. If known, what do you expect your monthly expenses for your business to be during this time period?

Question Title

* 7. Are you aware of the SBA (Small Business Administration) Economic Injury Program that was announced this week?

Question Title

* 8. What is the best way to contact you in the future?

Question Title

* 9. Is there anything immediately we can do to help you?