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* 1. Business name:

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* 2. What best describes your type of establishment?

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* 4. Has your business been affected, either through damage, or other reasons, by the recent weather situation?

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* 5. Have you experienced a downturn in customers as a result of the situation?

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* 6. Has your business been damaged by the recent weather situation and local states of emergency?

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* 7. Have you had to close your business (for any period) of time as a result of the weather / emergency situation?

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* 8. Please indicate the reasons why you had to close the business?

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* 9. Have you had any issues with security for the business as a result of this situation?

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* 10. What support, if any, do you need at this time? (for instance, information support, financial support, support dealing with leasing negotiations, or anything else)

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* 11. Do you have current business insurance?

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* 12. Please feel free to provide any final comment:

Thanks for your feedback. We'd like the opportunity to use your comments and name through some of our communications. If you would prefer we did not, please email us on info@restaurantnz.co.nz.

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