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* 1. Where is your business located?

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* 2. How large is your business?

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* 3. What is your industry?

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* 4. What is your level of annual sales (gross)?

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* 5. Over the past year and a half, please indicate if your business revenue has:

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* 6. If your business revenue has declined, please indicate what percentage that decline has been.

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* 7. If your business revenue has increased, please indicate what percentage that increase has been.

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* 8. How confident are you that you will be able to remain in business for the NEXT 6 MONTHS? 

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* 9. How confident are you that you will be able to remain in business for the NEXT YEAR? 

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* 10. Is there anything you need that you are not receiving that could make a difference in your business continuing to operate in 2022?

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