SCDRC Cares Act Survey Question Title * 1. Which county are you located in? Barnes Dickey Foster Griggs LaMoure Logan McIntosh Stutsman Wells OK Question Title * 2. Which city are you located in? OK Question Title * 3. Which Primary Sector does your company or organization do business? OK Question Title * 4. 1. What is your service area? Please check all that apply. City and Surrounding Area County Regional (within North Dakota) Statewide Surrounding States National - within United States International OK Question Title * 5. How many years have you or your business been in your position? 0-3 years? 4-10 years? 11-24 years? 25 years or more OK Question Title * 6. Workforce - How many full-time equivalent employees does your business employ? 1-4 5-10 11-20 21-50 51-100 101 or more OK Question Title * 7. Your Role - what is your primary role? Business Owner/Operator General Manager Economic Developer City/County Official Housing Tourism Sales/Retail Other (please specify) OK Question Title * 8. General Impact of Covid-19. Overall how has your community been impacted? Large negative impact Moderate negative impact Little or no effect Moderate Positive Effect Large Positive Effect OK Question Title * 9. Describe the impact of Covid-19 on you and your community below OK Question Title * 10. Impacts to customers and staff. Have you implemented protection practices to protect the health and safety of your customer and staff? Please select all that apply. Require staff to wear protective eyewear or face shields Require masks Require sanitizer to be used Require Gloves Install hand washing stations Install plexi-glass partitions Install markings on floor designating six feet distances Install signage for public entering your business Upgrade indoor ventilations Purchase additional filters Install drive-through window Change work schedule for employees to lessen number of people at work at one time. Changes made to sick leave policies Requirements on covid testing Temperature taking at the door. Locking business to outsiders Other (please specify) OK Question Title * 11. Housing – To your knowledge was any of your community unable to make house payments or rental payments? Yes No OK Question Title * 12. Ability to Make Payments – To your knowledge, was your business or city/county unable to make loan payments, vendor payments or pay salary, etc? Yes No Other (please specify) OK Question Title * 13. Has your business seen a change in operating revenue, sales, and receipts? Increase Decrease OK Question Title * 14. What specific challenges has your business or community had due to the Covid-19 pandemic? Please check all that apply. Unable to rehire furloughed or laid off employees Employees availability to work due to Covid-19 restrictions Unable to allow employees to work from home Physical distancing of employees Physical distancing of customers or clients and/or limits on the number of customers or clients Availability of personal protection equipment or supplies. Availability of other supplies or inputs used to provide goods or services. No challenges Other (please specify) OK Question Title * 15. What financial assistance has your business, city or county applied for and have you received those funds from the federal and state government? Please specify. OK Question Title * 16. How have executive Orders and/or policies set by the state and federal government affected your community? OK Question Title * 17. How can SCDRC assist your community during this Covid-19 pandemic and how can we help you restore your business? Please select all that apply. Gap financing for opportunities to further your success Technical Assistance CDBG Funding Grant writing Emergency Trainings Housing study Resilience and business training Tourism study Disaster recovery and resiliency plan Other (please specify) OK Question Title * 18. How have child care facilities been affected by the Covid-19 pandemic in your community? OK Question Title * 19. Please contact us with any needs you may want to discuss or any technical assistance on grant writing etc we can help you with. OK DONE
