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* 1. Which of these best describes your business activities?

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* 2. Has the COVID-19 pandemic negatively impacted your business?

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* 3. If you answered "No", to what do you attribute this non-impact? (Select N/A if you answered "Yes" above)

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* 4. In the 3 months prior to the current crisis, had your business experienced any of these?

  Planned an Increase Significantly Increased Mildly Increased No Change Mildly decreased Significantly decreased Planned a decrease
Sales / Profits
Markets
Facility
Workforce
Expenses

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* 5. In the last 2 months, has your business experienced a change in sales and/or profits?

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* 6. What specific aspects have had a negative impact on your business in the last month? (check all that apply). Select N/A if your business has not been negatively impacted.

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* 7. How likely are any of the following to threaten your operations in the next 3 months?

  Expect a Major Impact Expect Somewhat of an Impact No Impact Anticipated N/A
Loss or delay in sales or income
Increase expenses and business cost
Loss of workforce
Loss of contracts / Penalties for delays in delivering
Loss of customers / Customer dissatisfaction
Delay in executing plans

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* 8. At this point, what is the most pressing need or expense to keep your business in operation?

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* 9. How long can you sustain your business with your current reserves?

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* 10. What strategies has your business employed to adjust to the current crisis?

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* 11. Has your business applied for any of the following?

  Applied / Approved or Received Applied / Pending Approval Applied / Denied Did Not Apply Will consider applying if renewed
Paycheck Protection Program (PPP)
Economic Injury Disaster Loan (EIDL) and Loan Advance
Florida Small Business Emergency Bridge Loan
Short-Time Compensation Program
SBA Express Bridge Loans
SBA Debt Relief (for preexisting SBA loans)
Other traditional loans
Other private institution grant

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* 12. Beyond the current COVID-19 Healthcare and Economic Crisis, what other factors do you foresee affecting your business in the next year?

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* 13. Where is your business located?

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* 14. Approximately how many people does your business employ in Seminole County

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* 15. Is your business within any of these categories?

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* 16. Contact

Governor DeSantis activated the Business Damage Assessment Survey in order to accurately calculate the impact of COVID-19 on Florida’s local businesses. The results of this survey will determine the magnitude of relief programming provided locally, therefore it is imperative that Seminole County businesses respond to the survey. To date, 319 Seminole County businesses have completed the assessment, estimating more than $57M in damages and lost revenue and more than 1,700 layoffs. Please take a moment to complete the Business Damage Assessment Survey at https://floridadisaster.biz/BusinessDamageAssessments
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