Business Impact Assessment - COVID-19

The City of Waynesboro Office of Economic Development is conducting this survey to assess the impacts of Coronavirus (COVID-19) on local businesses.

Your input will help us identify common challenges, improve our comprehensive response strategy, and deploy resources to address critical business needs.

Thank you in advance for your input.

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* 1. Contact Information

Name of Business

E-mail Address

Phone

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* 2. Which category of industry do you best fit?

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* 3. How long has your business been in operation? (years/months)

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* 4. How many employees do you have?

Full-time prior to March 1st

Part-time prior to March 1st

Full-time now

Part-time now

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* 5. To what level has your business been impacted by COVID-19?

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* 6. If your business has experienced a loss, please describe (check all that apply)

Supply chain distribution

Slower sales/no sales

Employee absenteeism

Other (please specify)

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* 7. What steps has your business taken so far in response to COVID-19 (check all that apply)

Open, but scaled back hours/shifts

Modified product/service offered

Special offers for customers/community

Employees teleworking

Employees furloughed or laid off (please indicate number in comment below)

Found new buyers

Found new vendors

Business closed

Other (please specify)

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* 8. If the current business climate were to continue, how long would it take for your business to see significant negative impacts, such as layoffs or temporary or permanent closure?

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* 9. What was your annual business revenue last year?

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* 10. Please estimate any revenue decline you've experienced as a result of COVID-19, if applicable

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* 11. What assistance would be helpful to your business right now? (check all that apply)

Business preparedness planning/training

Information about financing options

Cash flow assistance

Assistance for laid off employees

Supply chain assistance

Retraining for employees

Connections to other companies/industry peers with similar challenges

Understanding local rules and regulations for businesses

Other (please specify)

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* 12. If you have received any financial assistance, from where have those funds come?

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* 13. Do you have business insurance?

Yes (indicate if it covers loss of income below)

Does your insurance cover loss of income?

Business Impact Assessment - COVID-19

Question Title

* 1. Contact Information

Question Title

* 2. Which category of industry do you best fit?

Question Title

* 3. How long has your business been in operation? (years/months)

Question Title

* 4. How many employees do you have?

Question Title

* 5. To what level has your business been impacted by COVID-19?

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* 6. If your business has experienced a loss, please describe (check all that apply)

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* 7. What steps has your business taken so far in response to COVID-19 (check all that apply)

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* 8. If the current business climate were to continue, how long would it take for your business to see significant negative impacts, such as layoffs or temporary or permanent closure?

Question Title

* 9. What was your annual business revenue last year?

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* 10. Please estimate any revenue decline you've experienced as a result of COVID-19, if applicable

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* 11. What assistance would be helpful to your business right now? (check all that apply)

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* 12. If you have received any financial assistance, from where have those funds come?

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* 13. Do you have business insurance?

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* 14. Please add any other comments about disruptions, challenges, or changes in your business due to the Coronavirus (COVID-19):