Thank you for taking the time to complete this survey. Collecting this information is critical to assess the economic impact of Covid-19 on our businesses and communities. It will help us demonstrate need when applying for state and federal funding on behalf of Franklin County and its businesses. By sharing your contact information, we will also be able to reach out to you and share relevant information about technical and financial resources that become available as this crisis unfolds. Franklin County Economic Development will not distribute your information.

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* 1. What type of business do you operate?

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* 2. Is your business currently operating? 

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* 3. What size was your business PRIOR to the COVID-19 Outbreak?

Please provide information about how the outbreak has affected your business.

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* 4. How many employees have been laid off?

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* 5. What is the estimated economic impact on your business per month? This can include payroll, rent or mortgage and utilities.

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* 6. Briefly describe the economic impact on your business.

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* 7. Have you already applied for SBA disaster loan?

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* 8. Would you like information on available funding?

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* 9. Contact information

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* 10. What is the name of your business?

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* 11. Street Address?

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* 12. City or Town name?

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* 13. Zip Code

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* 14. How can we be helpful in addressing your current operating challenges and/or providing information? Please enter below:

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