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March Financial Impact Survey from Broward Cultural Division
*
1.
Organization Name
(Required.)
*
2.
Address
(Required.)
Address
*
Address 2
City/Town
*
State/Province
*
ZIP/Postal Code
*
*
3.
Name of Cultural Facility or Arts Venue
(if none, please write N/A)
(Required.)
*
4.
Total revenue loss from Cultural Facility or Arts Venue closures
in dollar amount
(if your organization does not manage a space, enter 0):
(Required.)
*
5.
Total revenue loss from event and program cancellations
in dollar amount:
(Required.)
*
6.
Total COVID-19 emergency-related expenses
in dollar amount
:
(Required.)
*
7.
Total employee reduction and job losses
in dollar amount:
(Required.)
*
8.
Total days of Facility/Venue closed
in March
(if not applicable, type 0)
(Required.)
*
9.
Total attendance/visitor loss
in March
:
(Required.)
*
10.
In two (2) or three (3) sentences, briefly summarize the impact that COVID-19 has had on your organization during the month of March:
(Required.)
Please indicate your top three financial priorities and concerns
at this time
below:
*
11.
Financial Priority 1:
(Required.)
Administrative fees/salaries
Artistic fees/salaries
Health insurance for employees
Rent/mortgage payments
Overhead expenses (utilities, facility/organizational insurance, etc.)
COVID-19 expenses (additional maintenance, sanitizing supplies, etc.)
Reduced or eliminated earned
revenue
(ticket sales, subscriptions, tuition paid, concessions, advertisements, etc.)
Reduced or eliminated
individual
contributions (donations, memberships)
Reduced or eliminated
corporate
contributions or sponsorships
Reduced or eliminated
foundation
contributions
Reduced or eliminated
government
grant or funding contributions
Other, only if not listed above (please specify)
*
12.
Financial Priority 2:
(Required.)
Administrative fees/salaries
Artistic fees/salaries
Health insurance for employees
Rent/mortgage payments
Overhead expenses (utilities, facility/organizational insurance, etc.)
COVID-19 expenses (additional maintenance, sanitizing supplies, etc.)
Reduced or eliminated earned
revenue
(ticket sales, subscriptions, tuition paid, concessions, advertisements, etc.)
Reduced or eliminated
individual
contributions (donations, memberships)
Reduced or eliminated
corporate
contributions or sponsorships
Reduced or eliminated
foundation
contributions
Reduced or eliminated
government
grant or funding contributions
Other, only if not listed above (please specify)
*
13.
Financial Priority 3:
(Required.)
Administrative fees/salaries
Artistic fees/salaries
Health insurance for employees
Rent/mortgage payments
Overhead expenses (utilities, facility/organizational insurance, etc.)
COVID-19 expenses (additional maintenance, sanitizing supplies, etc.)
Reduced or eliminated earned
revenue
(ticket sales, subscriptions, tuition paid, concessions, advertisements, etc.)
Reduced or eliminated
individual
contributions (donations, memberships)
Reduced or eliminated
corporate
contributions or sponsorships
Reduced or eliminated
foundation
contributions
Reduced or eliminated
government
grant or funding contributions
Other, only if not listed above (please specify)
*
14.
Name of person completing this survey (for internal use only)
(Required.)
*
15.
Title of person completing this survey (for internal use only)
(Required.)
*
16.
Email address of the person completing this survey (for internal use only)
(Required.)
17.
Any additional comments, please list here:
