[SURVEY PREVIEW MODE] Covid-19 Business Impact Survey

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* 1. Please provide your contact information w 0

Name

Company

City/Town

Email Address

Phone Number

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* 2. What is your industry? w 0

Healthcare

Lodging

Manufacturing

Entertainment

Retail

Banks & Credit Unions

Construction

Professional Services (Attorney, Accountant, Financial Adviser, Consultant, Engineer)

Non-profit

Government

Insurance

Transportation

Education

Media

Real Estate

Technology

Other (please specify)

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* 3. How are your business's operations being impacted by Covid-19 (check all that apply) w 0

Complete closure of physical place of business

Adjustment in hours of operation

Our supply chain is interrupted

Significant increases in consumer demand for certain items

Decrease in sales (or donations/sponsorships if you are a non-profit)

Orders are being cancelled

The market is causing us to draw on our line of credit

We are restricting spending because of uncertainty

We are struggling to hire and/or retain employees (lack of applicants)

Other (please specify)

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* 4. At this point in time, what level of impact do you expect this to have on your business? (choose one) w 0

High (this may put us out of business)

Medium (this is going to significantly impact our financials)

Low (this may impact us financially but we are confident we can weather the storm)

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* 5. As concerns grow over the spread of Covid-19, what is your business doing to address employee and customer concerns and mitigate risk? (check all that apply) w 0

Nothing - trying to keep business as usual right now

Routinely sharing updates with employees

Routinely sharing updates with our customers/public

Providing hand sanitizer for staff use

Providing hand sanitizer for customer use

Increasing cleaning of frequently used spaces and objects

Restricting employee international travel

Restricting employee domestic travel

Restricting in-person gatherings (meetings, events, etc.) over a certain number

Restricting all in person gatherings regardless of size

Encouraging employees to work from home depending on their position

Requiring employees to work from home depending on their position

Other (please specify)

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* 6. How are you handling HR & Payroll issues as they relate to Covid-19? (check all that apply) w 0

Informing employees how insurance covers the cost of being tested

Informing employees how insurance to use Telemedicine and encouraging them to use it if symptoms arise

Assisting employees that are ill for long periods of time with filing a claim if applicable (based on short term disability policies)

Allowing employees to use all available sick and vacation paid time off if they are ill or quarantined

Allowing usage of other types of paid time off such as bereavement, floating holiday, etc.

Giving employees an advance on wages or paid time off

Sending non-exempt/hourly employees home without pay if they are ill and/or as adjustments to operations are made

Closing the business for a period of time and not paying any employees during closure

Continue to pay wages to employees that are off work for quarantine or illness

Other (please specify)

Covid-19 Business Impact Survey

Question Title

* 1. Please provide your contact information w 0

Question Title

* 2. What is your industry? w 0

Question Title

* 3. How are your business's operations being impacted by Covid-19 (check all that apply) w 0

Question Title

* 4. At this point in time, what level of impact do you expect this to have on your business? (choose one) w 0

Question Title

* 5. As concerns grow over the spread of Covid-19, what is your business doing to address employee and customer concerns and mitigate risk? (check all that apply) w 0

Question Title

* 6. How are you handling HR & Payroll issues as they relate to Covid-19? (check all that apply) w 0

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* 7. What type of information and/or support do you need the most right now? w 0