Thank you in advance, we appreciate your responses!

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* 1. Name

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* 2. Business Name

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* 3. Which sector do you work in?

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* 4. County of Residence

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* 5. Business or Workplace County

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* 6. Have you - directly or indirectly - been impacted by the recent storms and subsequent flooding, damage, and service/infrastructure interruptions?

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* 7. If you are a business owner, have the recent storms caused your business revenue loss through:

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* 8. If you experienced personal or business property/asset damage, can you estimate how much repairs will cost?

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* 9. If you had to evacuate your place of residence or business, how long did it take for you to be able to return?

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* 10. If your property or business have been impacted by the recent storms, are you aware of what assistance is available to you?

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* 11. What types of resources would be helpful for you?

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