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* 1. Name of Business or Organization 

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* 2. Do you own or operate a business in Delaware County, Ohio?

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* 3. In what Community is your business located?

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* 4. What Industry best describes your business?

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* 5. Has your bank continued to expect monthly loan payments during the Ohio Department of Health’s Stay at Home Order?

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* 6. If you answered yes to Question 5, have you continued to make your monthly loan payments?

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* 7. Do you and/or your landlord continue to pay for any utilities during the Ohio Department of Health’s Stay at Home Order? (Check all that apply)

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* 8. How many people were employed by your business prior to the Ohio Department of Health’s Stay at Home Order in response to the COVID-19 pandemic? (Fill in number)

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* 9. Have you continued in-person operations after the Ohio Department of Health’s Stay at Home Order?

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* 10. How many employees were temporarily laid off in response to COVID-19? (Fill in Number)

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* 11. How many employees were permanently laid off in response to COVID-19? (Fill in Number)

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* 12. What is your level of concern about your business closing permanently because of the COVID-19 pandemic?

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* 13. What resources would best support you and your business? (check all that apply)

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* 14. When the Governor grants full permission to resume operations, how can your local economic development professionals and business associations best serve you?

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* 15. If you are interested in receiving updates from Delaware County’s Economic Development Department for updates about resources and programs, please provide your email address:

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