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* 1. Email address*

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* 2. Contact Name*

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* 3. Contact Phone Number*

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* 4. Business Name*

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* 5. Business Location* (City/Town/Village ect.)

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* 6. Business Website

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* 7. What type of food service operation do you operate? (Check all that apply) *

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* 8. Are you a seasonal business? *

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* 9. What is your seating capacity? (Not including standing room)*

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* 10. What is your TOTAL capacity? (including standing room)*

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* 11. How many people did you employ before the crisis? *

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* 12. How many people are currently employed at your business? *

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* 13. Are you currently offering takeout and/or delivery? *

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* 14. Do you intend to continue offering takeout and/or delivery when you reopen? *

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* 15. If you are currently offering alcoholic beverages with takeout, do you intend to continue this service? *

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* 16. Do you have additional areas that fall outside your licensed premise that you could use for service (weather permitting)? (Check all that apply) *

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* 17. Do you offer buffet dining? *

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* 18. What is the minimum seating capacity you would require to make it worth it to reopen? *

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* 19. Which additional restrictions would you feel comfortable implementing when you reopen? (Check all that apply) *

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* 20. What are some of the challenges you foresee in reopening? (Check all that apply) *

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* 21. Additional comments? 

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