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* 1. What segment/sector is your business?

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* 2. Has your business closed or reduced hours?

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* 3. What percentage of your workforce have you had to furlough/lay off?

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* 4. What was the size of your workforce before the COVID-19 crisis?

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* 6. Do you expect to hire back those workers laid-off?

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* 7. How do you feel about your company’s ability to weather through the COVID-19 crisis? 

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* 8. Please estimate the revenue impact COVID-19 will have on your business from March through May 31st, 2020.

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* 9. How long can your business sustain operations in this current crisis without financial assistance?

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* 11. If Yes, which component?

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* 12. What kind of assistance from local, state or federal government would be most helpful?

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* 14. Has your business shifted to a different model and/or are you offering different services or products?

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* 15. If yes, please describe how your business has shifted.

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* 16. Business Contact Information

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