Legislative Priorities Survey

1. Your Business or Organization

Tell us a few things about your business or organization. (Be assured that the survey is intended to gauge the concerns of the Chamber membership and that individual responses will not be made public.)

Question Title

* 1. Your background information will be helpful in determining the concerns of specific groups. Any public summary of the results will not include any individual responses. But you may still leave this section blank if you prefer.

Name:

Company or Organization:

Address:

Address 2:

City/Town:

State:

ZIP:

Country:

Email Address:

Phone Number:

Question Title

* 2. Which of these best describes your business or organization?

Retail

Manufacturing

Professional

Service

Education

Health Care

Government/Quasi-Government

Non-Profit

Other (please specify)

Question Title

* 3. How big is your workforce?

10 or fewer

11-20

21-50

51-100

More than 100

Question Title

* 4. Will your workforce change over the next twelve months?

Yes, we will likely add one to five employees.

Yes, we will likely add six or more employees.

No, our workforce is not likely to change significantly.

We are likely to cut one to five employees.

We are likely to cut six or more employees.

If a change is likely, briefly tell us why.