Screen Reader Mode Icon

COVID-19 Business Impact Survey


The following COVID-19 Business Impact Survey was developed by 25 volunteer economic development professionals who came together to meet the need for concrete information on the human and economic impacts being felt by companies in the communities we represent.

All contact information will be held in full confidentiality
Results of this survey will be shared with our economic development partners.  

Question Title

* 1. What is the current operating status of your business?

Question Title

* 2. (If Open) What percentage(%)is your current on-site operating level?

0 50 100
Clear
i We adjusted the number you entered based on the slider’s scale.

Question Title

* 3. (If Open) What percentage(%) is your current remote operating level?

0 50 100
Clear
i We adjusted the number you entered based on the slider’s scale.

Question Title

* 4. (If Open) What percentage(%) of your supplies services are you able to receive?

0 50 100
Clear
i We adjusted the number you entered based on the slider’s scale.

Question Title

* 5. (If Open) What percentage(%) of your goods or services are you able to ship/deliver?

0 50 100
Clear
i We adjusted the number you entered based on the slider’s scale.

Question Title

* 6. (If Closed) Was the decsion to close:

Question Title

* 7. (If Closed) What was the date of closure?

Date

Question Title

* 8. What is your current total employee count?

Question Title

* 9. Has your employee count changed due to COVID-19 specifically?

Question Title

* 10. (If Yes) Workforce Change

Question Title

* 11. What percentage(%) of your workforce is currently working remotely

0 50 100
Clear
i We adjusted the number you entered based on the slider’s scale.

Question Title

* 12. What percentage(%) of your workforce is unable to work remotely?

0 50 100
Clear
i We adjusted the number you entered based on the slider’s scale.

Question Title

* 13. If employees are temporarily not reporting for work, what percentage(%) will be paid during the work hiatus?

0 50 100
Clear
i We adjusted the number you entered based on the slider’s scale.

Question Title

* 14. If employees are temporarily not reporting for work, what percentage(%) will not be paid during the work hiatus?

0 50 100
Clear
i We adjusted the number you entered based on the slider’s scale.

Question Title

* 15. If any employees are paid, approximately how many weeks will they be compensated?

1 9 18
Clear
i We adjusted the number you entered based on the slider’s scale.

Question Title

* 16. Is your company providing any temporary aid to unpaid employees during their furlough?

Question Title

* 17. On a scale of 1-7 how would you evaluate workforce morale today?

Question Title

* 18. In addition to general health, what is your greatest concern for employees during this time of emergency? 

Question Title

* 19. Has your company's weekly revenue experienced an increase or decrease as a result of COVID-19 

Question Title

* 20. (If increased) Please estimate the percentage(%) of revenue increase?

0 50 100
Clear
i We adjusted the number you entered based on the slider’s scale.

Question Title

* 21. (If decreased) Please estimate the percentage(%) of decrease in revenue?

0 50 100
Clear
i We adjusted the number you entered based on the slider’s scale.

Question Title

* 22. Do you have standing lines of credit to help bridge this business interruption?

Question Title

* 23. How many weeks of a business slow down or shutdown would you estimate your business could survive before closing?

Question Title

* 24. Have you contacted your bank about a bridge loan or other financing? 

Question Title

* 25. What are your top three concerns looking forward? (Check 3 Only)

Question Title

* 26. In the next 3 months, do you anticipate any permanent reductions in your workforce?

Question Title

* 27. In the next 6 months, do you anticipate any permanent reductions in your workforce?

Question Title

* 28. Are you interested in an SBA Economic Injury Disaster Loan if or when they become available?

Question Title

* 29. What business supports would you think beneficial as we navigate this global challenge?

Question Title

* 30. Are there any thoughts, concerns, or actions you would like to share or suggest? 

Question Title

* 31. Respondent Information - All information is confidential. 
Required: City/Town & State .
SBA Assistance - Please fill entire form. 

Question Title

* 32. Name of your company's COVID-19 Customer Response Coordinator (Optional)

Question Title

* 33. Which one of the following best describes your organization's primary industry?

0 of 33 answered
 

T