Help us understand local impacts of COVID-19 on your business as we try to help cities and neighborhoods recover their local economies.

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* 1. Overall, how has your business been affected by the COVID-19 pandemic?

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* 2. In the last week, did your business experience a change in operating revenues/sales/receipts, not including any financial assistance or loans?

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* 3. In the last week, did your business temporarily close any of its locations for at least one day?

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* 4. In the last week, did your business have a change in the number of paid employees?

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* 5. In the last week, did your business have a change in the total number of hours worked by paid employees?

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* 6. In the last week, did your business have disruptions in its supply chain?

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* 7. Did your business shift to the production or sale of other goods or services?

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* 8. Did any of your business's locations adopt pickup/carry-out/delivery as their only means of providing goods and services to their customers?

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* 9. How would you describe the current availability of cash on hand for this business, including any financial assistance or loans? Currently, cash on hand will cover:

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* 10. Since March 13, 2020, has your business missed any loan payments, not including payments that have been forgiven or postponed?

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* 11. Since March 13, 2020, has your business missed any other scheduled payments, not including loans?

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* 12. Since March 13, 2020, has your business requested financial assistance from any of the following sources?

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* 13. Since March 13, 2020, has your business received financial assistance from any of the following sources?

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* 14. In your opinion, how much time do you think will pass before this business returns to its normal level of operations to one year ago?

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* 15. What zip code is your business located in?

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* 16. How many employees did you have Pre-COVID?

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* 17. How many employees do you currently have?

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* 18. What industry is your business?

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