Screen Reader Mode Icon Check SCREEN READER MODE to make this survey compatible with screen readers. The impact of COVID-19 on your business Development West Coast are currently pulling together a Coast-wide survey to understand the impact of COVID-19 on our business community. This will ensure we are well informed of the impact on the region and can provide an evidence-based overview of the current and future impact of COVID-19 to inform Government and provide suitable support.By completing this survey, you agree to share your responses with DWC, however your responses will be anonymous unless you wish to add your contacts details for further support.Below is a brief survey that should take no more than five minutes to complete. Your participation is very important to us – thank-you for your time. OK Question Title * 1. Which of the following industry areas best describes your business or organisation? Agriculture, Forestry and Fishing Mining Manufacturing Electricity, Gas, Water and Waste Services Construction Wholesale Trade Retail Trade Accommodation and Food Services Transport, Postal and Warehousing Not for Profit Information Media and Telecommunications Financial and Insurance Services Rental, Hiring and Real Estate Services Professional, Scientific and Technical Services Administrative and Support Services Public Administration and Safety Education and Training Health Care and Social Assistance Arts and Recreation Services Information and Communication Technology Other (please specify) OK Question Title * 2. Within which Council district is your main business location? Buller Grey Westland Further comments: OK Question Title * 3. How many full-time equivalent employees do you have? 0 1-5 6-9 10-19 20-49 50+ OK Question Title * 4. What is your current annual revenue (optional)? Less than $150,000 $150,000-$249,999 $250,000-$499,999 $500,000-$999,999 $1,000,000-$4,999,999 $5,000,000+ Prefer not to answer OK Question Title * 5. What impact is COVID-19 currently having on the following areas of your organisation? Positive Impact No Impact Minor Negative Impact (<5%) Moderate Negative Impact (5-10%) Significant Negative Impact (10-25%) Major Negative Impact (greater than 25%) Staffing (change to employee numbers/hours and/or conditions of employment) Staffing (change to employee numbers/hours and/or conditions of employment) Positive Impact Staffing (change to employee numbers/hours and/or conditions of employment) No Impact Staffing (change to employee numbers/hours and/or conditions of employment) Minor Negative Impact (<5%) Staffing (change to employee numbers/hours and/or conditions of employment) Moderate Negative Impact (5-10%) Staffing (change to employee numbers/hours and/or conditions of employment) Significant Negative Impact (10-25%) Staffing (change to employee numbers/hours and/or conditions of employment) Major Negative Impact (greater than 25%) Financial/Cashflow Financial/Cashflow Positive Impact Financial/Cashflow No Impact Financial/Cashflow Minor Negative Impact (<5%) Financial/Cashflow Moderate Negative Impact (5-10%) Financial/Cashflow Significant Negative Impact (10-25%) Financial/Cashflow Major Negative Impact (greater than 25%) Employer/Employee wellbeing Employer/Employee wellbeing Positive Impact Employer/Employee wellbeing No Impact Employer/Employee wellbeing Minor Negative Impact (<5%) Employer/Employee wellbeing Moderate Negative Impact (5-10%) Employer/Employee wellbeing Significant Negative Impact (10-25%) Employer/Employee wellbeing Major Negative Impact (greater than 25%) Export market/customers Export market/customers Positive Impact Export market/customers No Impact Export market/customers Minor Negative Impact (<5%) Export market/customers Moderate Negative Impact (5-10%) Export market/customers Significant Negative Impact (10-25%) Export market/customers Major Negative Impact (greater than 25%) Domestic market/customers Domestic market/customers Positive Impact Domestic market/customers No Impact Domestic market/customers Minor Negative Impact (<5%) Domestic market/customers Moderate Negative Impact (5-10%) Domestic market/customers Significant Negative Impact (10-25%) Domestic market/customers Major Negative Impact (greater than 25%) Supply chain Supply chain Positive Impact Supply chain No Impact Supply chain Minor Negative Impact (<5%) Supply chain Moderate Negative Impact (5-10%) Supply chain Significant Negative Impact (10-25%) Supply chain Major Negative Impact (greater than 25%) Production levels Production levels Positive Impact Production levels No Impact Production levels Minor Negative Impact (<5%) Production levels Moderate Negative Impact (5-10%) Production levels Significant Negative Impact (10-25%) Production levels Major Negative Impact (greater than 25%) Additional costs Additional costs Positive Impact Additional costs No Impact Additional costs Minor Negative Impact (<5%) Additional costs Moderate Negative Impact (5-10%) Additional costs Significant Negative Impact (10-25%) Additional costs Major Negative Impact (greater than 25%) OK Question Title * 6. What impact do you expect COVID-19 to have on your organisation over the next three months? Positive Impact No Impact Minor Negative Impact (<5%) Moderate Negative Impact (5-10%) Significant Negative Impact (10-15%) Major Negative Impact (>25%) Staffing (change to employee numbers/hours and/or conditions of employment) Staffing (change to employee numbers/hours and/or conditions of employment) Positive Impact Staffing (change to employee numbers/hours and/or conditions of employment) No Impact Staffing (change to employee numbers/hours and/or conditions of employment) Minor Negative Impact (<5%) Staffing (change to employee numbers/hours and/or conditions of employment) Moderate Negative Impact (5-10%) Staffing (change to employee numbers/hours and/or conditions of employment) Significant Negative Impact (10-15%) Staffing (change to employee numbers/hours and/or conditions of employment) Major Negative Impact (>25%) Financial/Cashflow Financial/Cashflow Positive Impact Financial/Cashflow No Impact Financial/Cashflow Minor Negative Impact (<5%) Financial/Cashflow Moderate Negative Impact (5-10%) Financial/Cashflow Significant Negative Impact (10-15%) Financial/Cashflow Major Negative Impact (>25%) Employer/Employee wellbeing Employer/Employee wellbeing Positive Impact Employer/Employee wellbeing No Impact Employer/Employee wellbeing Minor Negative Impact (<5%) Employer/Employee wellbeing Moderate Negative Impact (5-10%) Employer/Employee wellbeing Significant Negative Impact (10-15%) Employer/Employee wellbeing Major Negative Impact (>25%) Export market/customers Export market/customers Positive Impact Export market/customers No Impact Export market/customers Minor Negative Impact (<5%) Export market/customers Moderate Negative Impact (5-10%) Export market/customers Significant Negative Impact (10-15%) Export market/customers Major Negative Impact (>25%) Domestic market/customers Domestic market/customers Positive Impact Domestic market/customers No Impact Domestic market/customers Minor Negative Impact (<5%) Domestic market/customers Moderate Negative Impact (5-10%) Domestic market/customers Significant Negative Impact (10-15%) Domestic market/customers Major Negative Impact (>25%) Supply chain Supply chain Positive Impact Supply chain No Impact Supply chain Minor Negative Impact (<5%) Supply chain Moderate Negative Impact (5-10%) Supply chain Significant Negative Impact (10-15%) Supply chain Major Negative Impact (>25%) Production levels Production levels Positive Impact Production levels No Impact Production levels Minor Negative Impact (<5%) Production levels Moderate Negative Impact (5-10%) Production levels Significant Negative Impact (10-15%) Production levels Major Negative Impact (>25%) Additional costs Additional costs Positive Impact Additional costs No Impact Additional costs Minor Negative Impact (<5%) Additional costs Moderate Negative Impact (5-10%) Additional costs Significant Negative Impact (10-15%) Additional costs Major Negative Impact (>25%) OK Question Title * 7. What type of support would best help you manage the impact on your business? OK Question Title * 8. Would you like someone to contact you regarding business support for COVID-19? Yes No OK Question Title * 9. If you answered 'Yes' to the question above, please provide the required contact details in the text box below (optional):- Name- Business / Position- Email address- Phone number OK Question Title * 10. Which areas do you trade with? Domestic (NZ) Australia China Japan Singapore Rest of Asia UK Europe USA/Canada Other (please specify) OK Question Title * 11. Any other comments (optional)?: OK DONE
