Screen Reader Mode Icon

Economic Impact Assessment Amid COVID-19 Pandemic

Question Title

* 1. What is the name of your business?

Question Title

* 2. Check the box that fits your business type.

Question Title

* 3. Is your business currently closed?

Question Title

* 4. If yes, when?

Date

Question Title

* 5. How many employees do you have?

Question Title

* 6. Have you had to lay off, furlough or reduce hours to any of your employees? Please explain below.

Question Title

* 7. What percentage of revenue was lost due to COVID-19 during the week of March 23-29, 2020, if any? Use the slider below.

0 100
Clear
i We adjusted the number you entered based on the slider’s scale.

Question Title

* 8. What percentage of revenue was lost due to COVID-19 during the week of March 30-April 5, 2020, if any? Use the slider below.

0 100
Clear
i We adjusted the number you entered based on the slider’s scale.

Question Title

* 9. What percentage of revenue was lost due to COVID-19 during the week of April 6-12, 2020, if any? Use the slider below.

0 100
Clear
i We adjusted the number you entered based on the slider’s scale.

Question Title

* 10. If you are a restaurant, have you joined the dedicated Facebook group: Washington County Local Restaurant Options during COVID-19?

Question Title

* 11. If you are any other business type, have you joined the dedicated Facebook group: Washington County Retail Information during COVID-19?

Question Title

* 12. Are you currently posting consumer information to these groups?

Question Title

* 13. Is there any other information or assistance that the Washington County Tourist Development Council, the Washington County Chamber of Commerce or the Washington County BOCC can provide? Please list all below.

Question Title

* 14. Would you like to receive partner emails from the Washington County on current developments in the COVID-19 response?

Question Title

* 15. If you answered yes, please provide your name and valid email address below.

0 of 15 answered
 

T