*1.What is your first and last name?(Required.)

*2.What is the name of your business(es)?(Required.)

*3.What is your business(es) address?(Required.)

*4.What is your email address?(Required.)

*5.Will you be attending the March 18th (3:30PM-5:00PM) North Side Business Forum at Old Crow Smokehouse, 3506 N. Clark Street? If answering yes, please plan to arrive as early as 3:15PM, as the event will start promptly at 3:30PM. This is your opportunity to ask questions and find out what your elected officials are doing to help small businesses in Chicago.(Required.)

Yes

No

*6.What Chamber of Commerce represents your area? (check all that apply)(Required.)

Andersonville

Northalsted

Lakeview East (includes Wrigleyville and Central)

West Lakeview/Roscoe Village

Uptown

I have no idea

*7.Which area of government do you find most challenging for your business? (Check all that apply)(Required.)

Business Affairs and Consumer Protection (licensing, permitting, regulations)

Zoning

Special Events

Economic Development

CDOT

Workforce Development

Finance

Technology

Dept. of Buildings

Law

Health Inspections and Regulations

Public Safety

Sustainability

Social Services

8.What are the biggest challenges for your business when working with the City?

9.Please submit any questions you would you like to ask local elected representatives (Alderpersons) regarding operating a business in Chicago.

10.Please submit any suggestions you may have for our elected officials to help improve the small business environment for the City of Chicago.

11.As it relates to your business, what areas of government have you seen positive changes in?