Cowlitz - Lewis Business Disaster Survey
Exit this survey
1. Business Information
1
. Where is the business located?
Where is the business located?
Cowlitz County
Lewis County
Other (please specify)
2
. What is your business zip code?
What is your business zip code?
3
. What type of business do you operate (select all that apply)?
What type of business do you operate (select all that apply)?
Agricultural, forestry, fishing & hunting, and mining
Arts, entertainment, recreation, accommodation & food services
Construction
Educational, health and social services
Manufacturing
Other services (except public administration)
Wholesale trade
Public administration
Retail trade
Transportation & warehousing, and utilities
Information
Finance, insurance, real estate, rental/leasing
Professional, scientific, management, administrative, and waste management services
Non-profit
Other (please specify)
4
. How many years have you been in business?
How many years have you been in business?
Less than 1 year
1-3 years
4-10 years
11-25 years
Over 25 years
Other (please specify)
5
. How many employees does the business have?
How many employees does the business have?
1-5
6-19
20-49
50-99
100-499
500-999
More than 1000
6
. What is your yearly gross revenue?
What is your yearly gross revenue?
Less than $100,000
$100,000 – 500,000
$500,001 – 1,000,000
$1,000,000+
7
. Does the company own or lease the building(s) where the business is located?
Does the company own or lease the building(s) where the business is located?
Own
Lease
Own and Lease
Other (please specify)
Powered by
SurveyMonkey
Check out our
sample surveys
and create your own now!
Javascript is required for this site to function, please enable.