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* 1. Please provide the following information.

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* 2. Please select business type below. Please select all that apply.

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* 3. How would you describe the current status of your business?

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* 4. To what degree has your business adapted its operations in response to the public health orders? Please select all that apply.

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* 5. To what degree has your business revenue been impacted since the public health orders went into effect?

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* 6. Have you furloughed or laid off any employees at this location?

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* 7. If you answered "Yes" to question six, how many?

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* 8. Prior to the public health orders, how many employees worked at this location each week?

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* 9. Currently, what are your most pressing business challenges or concerns? Please select all that apply.

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* 10. How quickly, once the public health orders have been lifted, do you anticipate reopening?

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* 11. Once the public health orders are lifted, what do you anticipate will be the greatest challenge in reopening?

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* 12. Has your business applied for any financial assistance through government programs due to the public health orders?

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* 13. If you answered "Yes" to question 12, what types of public assistance have you applied for? Please select all that apply.

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* 14. If you answered "Yes" to question 13, have you received any funds from these programs?

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* 15. How long, in total, can your business survive in this current state?

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* 16. How long have you been in business?

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* 17. How long have you been at this location?

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* 18. Are there additional challenges, concerns, or information you'd like us to know?

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* 19. Let's stay in touch! Would you like to sign up for the Centro San Antonio email list?

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