Local Business Impact Assessment - Damages

Name of the organization which you received this survey from:

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* 1. Name of the organization which you received this survey from:

Business Information

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* 2. Business Information

Type of Business (Check all that apply):

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* 3. Type of Business (Check all that apply):

Number of employees at your company:

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* 4. Number of employees at your company:

How long has your business been in operation in Fort Bend County?

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* 5. How long has your business been in operation in Fort Bend County?

What happened to your business during Hurricane Harvey and immediately afterward?  (Check all that apply)

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* 6. What happened to your business during Hurricane Harvey and immediately afterward?  (Check all that apply)

Did you incur direct damages to any part of your business? This could include the structure/foundation, inventory/product, or equipment/office/assets.

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* 8. Did you incur direct damages to any part of your business? This could include the structure/foundation, inventory/product, or equipment/office/assets.

Amount of direct damages in dollars (estimate). If you incurred no damages for a category, please enter "0"

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* 9. Amount of direct damages in dollars (estimate). If you incurred no damages for a category, please enter "0"

Of the damages to your business, how are you financing recovery? (Please select all that apply)

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* 10. Of the damages to your business, how are you financing recovery? (Please select all that apply)

After Hurricane Harvey and the following floods, what assistance do you need? (Select all that apply)

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* 11. After Hurricane Harvey and the following floods, what assistance do you need? (Select all that apply)

Of those that you just checked, what assistance do you expect to apply for that you need help with?

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* 12. Of those that you just checked, what assistance do you expect to apply for that you need help with?

Do you have business insurance?

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* 13. Do you have business insurance?

Does your business insurance cover flood losses:

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* 14. Does your business insurance cover flood losses:

How many of your employees have been displaced due to Hurricane Harvey?

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* 16. How many of your employees have been displaced due to Hurricane Harvey?

Does your business insurance cover loss of income?

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* 17. Does your business insurance cover loss of income?

Have you been able to receive materials, supplies, and services adequately since Hurricane Harvey?

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* 18. Have you been able to receive materials, supplies, and services adequately since Hurricane Harvey?

Did you plan to, or have you already, registered with FEMA for assistance and received a case number?

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* 19. Did you plan to, or have you already, registered with FEMA for assistance and received a case number?

Are you planning to seek a Disaster Recovery Loan or Loan Deferment?

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* 20. Are you planning to seek a Disaster Recovery Loan or Loan Deferment?

If yes, would you like contact information for any loan/grant programs?

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* 21. If yes, would you like contact information for any loan/grant programs?

Is your company interested in providing services/products to help with the recovery?

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* 22. Is your company interested in providing services/products to help with the recovery?

Are you aware that Fort Bend County's Office of Emergency Management provides alerts during a major crisis or emergency?

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* 23. Are you aware that Fort Bend County's Office of Emergency Management provides alerts during a major crisis or emergency?

Are you aware that many of the cities provide an alert system during a major crisis or emergency?

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* 24. Are you aware that many of the cities provide an alert system during a major crisis or emergency?

Are you aware of Fort Bend Recovers, a collaborative network where you can find information on where to get help, volunteering for both organizations or individuals, and recovery efforts?

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* 25. Are you aware of Fort Bend Recovers, a collaborative network where you can find information on where to get help, volunteering for both organizations or individuals, and recovery efforts?

Are you aware of the Fort Bend Forward Harvey Recovery Fund which is raising funds to disburse to nonprofit organizations serving flood victims in our local community?

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* 26. Are you aware of the Fort Bend Forward Harvey Recovery Fund which is raising funds to disburse to nonprofit organizations serving flood victims in our local community?

Please share any comments or concerns regarding Hurricane Harvey which you believe would be helpful:

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* 27. Please share any comments or concerns regarding Hurricane Harvey which you believe would be helpful:

May we contact you for further information if it is needed?

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* 28. May we contact you for further information if it is needed?

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