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* 1. Please enter your full name.

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* 2. Please enter your business name.

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* 3. Please provide the best email address for any follow-up requirements.

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* 4. Please describe the type and extent of damage your business has experienced as a result of Cyclone Narelle.
(e.g. structural damage, equipment or stock loss, flooding, power outages, access restrictions)

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* 5. What is your estimated total financial impact to date?
(Please include lost revenue, cancelled bookings, asset damage, and any additional operating costs)

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* 6. What is your current operating status?

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* 7. Please briefly outline the key factors affecting your current operations.

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* 8. How has Cyclone Narelle affected your workforce?
(e.g. reduced hours, staff displacement, inability to attend work, safety concerns)

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* 9. Have you experienced disruptions to supply chains or access to your business?
If yes, please describe the nature and duration of these disruptions.

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* 10. How has the cyclone affected customer demand or visitation? (e.g. cancellations, reduced bookings, travel disruptions)

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* 11. Which essential services were disrupted, and for how long?
(e.g. electricity, water, telecommunications, internet, road access)

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* 12. Did your business have insurance coverage in place at the time of Cyclone Narelle?

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* 13. If you did not have insurance, please indicate the main reason(s).
(e.g. cost, lack of availability, insufficient coverage options, other — please specify)

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* 14. Have you lodged an insurance claim related to cyclone damage?

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* 15. If yes, please indicate the current status of your insurance claim.

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* 16. If you have engaged with an insurer, how satisfied are you with the claims process?

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* 17. Please provide any additional comments on your experience engaging with your insurer.

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* 18. What types of support would most assist your business recovery?
(e.g. financial assistance, grants, concessional loans, clean-up support, infrastructure repairs)

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* 19. Do you anticipate any long-term impacts on your business as a result of the cyclone?
If yes, please describe.
(e.g. reduced capacity, prolonged repairs, ongoing loss of revenue, workforce challenges)

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