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Please take a few minutes to answer some questions about how the COVID-19 situation is impacting your business.  This will help provide fact-based information to pass along to our State and Federal representatives.  Thank you so much for your time.

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* 1. What kind of business do you operate?

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* 2. How long has your business been in operation?

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* 3. Would you characterize the ownership of the business in any of the following ways? (Check all that apply)

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* 4. How many people did you employ full-time prior to March 1, 2020?

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* 5. How many people did you employ part-time prior to March 1, 2020?

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* 6. Is your business considering employee layoffs?

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* 7. How many of your employees are at risk of unemployment and/or layoffs as a result of the coronavirus?

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* 8. Do you know if those layoffs will be temporary (1 month or less), or long term (more than 1 month)?

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* 9. Has your company implemented a work-from-home or similar policy because of the COVID-19 outbreak?

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* 10. How has your business revenue changed since COVID-19 became a widespread concern in early March 2020?

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* 11. Does your business have an online sales component?

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* 12. If your business has an online sales component, approximately what portion of your overall revenue comes from online sales?

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* 13. Has your business suspended storefront operations as a result of the COVID-19 public health emergency?

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* 14. How has COVID-19 affected your business? (Please check all that apply)

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* 15. Looking to the future, how long do you think it would take your business to get back to “business as usual”?

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* 16. If business disruption continues at the current rate, how soon will your business be at risk of closing permanently?

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* 17. How is the COVID-19 pandemic impacting your short-term (2020) business strategy? (Check all that apply)

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* 18. At this time, what are you most concerned about? (Please choose all that apply)

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* 19. What types of assistance would be most helpful to your business? (Please check all that apply)

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* 20. What is the name of your business? (Optional)

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* 21. What is your email address? (Optional)

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* 22. Where is your business located?

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