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* 1. What is your business or industry?

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* 2. Have you lost business as a result of the Coronavirus situation? Please explain.

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* 3. Has the Coronavirus situation impacted your operations or supply chain? Please explain.

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* 4. Are you anticipating future impacts to your business as a result of the Coronavirus situation? Please explain. 

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* 5. Do you have any immediate needs in order to maintain your business over the next 30 days? Please Explain.

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* 6. What could help your business deal with the impacts of the Coronavirus situation? Please explain. 

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