WHAT ARE YOUR BUSINESS NEEDS?

PENNSYLVANIA AVENUE EAST MAIN STREET- Business Health Check 2022

In an effort to gauge the needs of businesses, we need your input. Please complete the survey and provided feedback on your business strengths, weaknesses, goals and needs. Contact Latisha Atkins at latkins@mhcdo.org with any questions or concerns.

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1. What is the name of your business?

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2. What date was your business established?

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3. What is your business contact information (Email/Phone Number)

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Website

Email Address

Phone Number

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4. Is this a storefront? (Required.)

Yes

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5. Please provide your social media handles

Twitter

Facebook

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6. What are your hours of operation?

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7. Does your company provide services, products or both?

Services

Products

Both

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8. What ward are you located?

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9. How many owners does your business have?

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10. How many hours a week do you work?

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11. How many of the owners are DC residents?

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12. How many full time employees do you have?

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13. How many part-time employees do you have?

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14. Have you had to fire/layoff employees as a result of related COVID-19 revenue loss?

Yes

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15. How many?

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16. How many of your employees are DC residents?

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17. Please check all documents you currently have in your possession for your business:

Articles of Organization

Certificate of Organization

Basic Business License

Certificate of Good Standing (from DCRA)

Notice of Tax Registration or Clean Hands documents (OTR)

EIN Registration Letter

Balance Sheet (No older than 90 days)

Profit and Loss Statement (No older than 90 days)

Business District or State and Federal Tax Returns

Current Quarter form UC-30 (if you have employees)

Certificate of Occupancy or Home Occupancy

Office Lease (min 12 months) or Deed of Business Site

Capability Statement

Operating Agreement

Business Plan

Certificate of Liability Insurance

Business Bank Account Statement

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18. Do you have a DUNs & Bradstreet Number? (Required.)

Yes

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19. If you answered yes to the above question, please provide DUNS Number

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20. Describe your most critical need:

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21. Has your business received any financial assistance from the District of Columbia to support you during COVID-19?

Yes

WHAT ARE YOUR BUSINESS NEEDS?

PENNSYLVANIA AVENUE EAST MAIN STREET- Business Health Check 2022

Question Title

* 1. What is the name of your business?

Question Title

* 2. What date was your business established?

Question Title

* 3. What is your business contact information (Email/Phone Number)

Question Title

* 4. Is this a storefront? (Required.)

Question Title

* 5. Please provide your social media handles

Question Title

* 6. What are your hours of operation?

Question Title

* 7. Does your company provide services, products or both?

Question Title

* 8. What ward are you located?

Question Title

* 9. How many owners does your business have?

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* 10. How many hours a week do you work?

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* 11. How many of the owners are DC residents?

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* 12. How many full time employees do you have?

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* 13. How many part-time employees do you have?

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* 14. Have you had to fire/layoff employees as a result of related COVID-19 revenue loss?

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* 15. How many?

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* 16. How many of your employees are DC residents?

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* 17. Please check all documents you currently have in your possession for your business:

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* 18. Do you have a DUNs & Bradstreet Number? (Required.)

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* 19. If you answered yes to the above question, please provide DUNS Number

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* 20. Describe your most critical need:

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* 21. Has your business received any financial assistance from the District of Columbia to support you during COVID-19?

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* 22. If so, please specify type of funding

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* 23. Have you received any financial assistance through the Paycheck Protection Program (PPP)?

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* 24. Have you applied for the Paycheck Protection Program in the last 12 months?

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* 25. If not, why?

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* 26. Are you happy with the current performance of your business?

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* 27. If no, please explain:

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* 28. Do you have detailed goals outlined for your business

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* 29. If yes, please list your goals:

1. What is the name of your business?

2. What date was your business established?

3. What is your business contact information (Email/Phone Number)

4. Is this a storefront? (Required.)

5. Please provide your social media handles

6. What are your hours of operation?

7. Does your company provide services, products or both?

8. What ward are you located?

9. How many owners does your business have?

10. How many hours a week do you work?

11. How many of the owners are DC residents?

12. How many full time employees do you have?

13. How many part-time employees do you have?

14. Have you had to fire/layoff employees as a result of related COVID-19 revenue loss?

15. How many?

16. How many of your employees are DC residents?

17. Please check all documents you currently have in your possession for your business:

18. Do you have a DUNs & Bradstreet Number? (Required.)

19. If you answered yes to the above question, please provide DUNS Number

20. Describe your most critical need:

21. Has your business received any financial assistance from the District of Columbia to support you during COVID-19?

22. If so, please specify type of funding

23. Have you received any financial assistance through the Paycheck Protection Program (PPP)?

24. Have you applied for the Paycheck Protection Program in the last 12 months?

25. If not, why?

26. Are you happy with the current performance of your business?

27. If no, please explain:

28. Do you have detailed goals outlined for your business

29. If yes, please list your goals: