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* 1. How long has your business been operating?

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* 2. Which of the following best describes your business?

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* 3. How many employees does your business currently employ?

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* 4. What is the current state of your financial statements?

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* 5. What are your estimated monthly expenses in CI dollars?

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* 6. What are your top concerns in operating your business during the COVID-19 pandemic? (Please check all that apply)

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* 7. How has the COVID-19 affected your business on a daily basis? (Please check all that apply)

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* 8. Have you had to reduce the number of employees working for your business as a result of COVID - 19? (Please check all that apply)

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* 9. If your workforce has been reduced, or you anticipate a reduction, how many employees are/ will be impacted

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* 10. What type of assistance will your business need during and after this crisis? (Please check all that apply)

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