1.Has your business been impacted by the wave of shutdowns and slowdowns caused by government efforts to contain the coronavirus pandemic?

Yes

No

2.Briefly, tell us how? (50 words max)

3.If you have lost customers and revenue, please briefly describe the loss in numbers (e.g., number of typical customers pre-corona and loss of customers this week OR typical revenue per week versus post-corona revenue). (100 words max)

4.Your Contact Information

Your Name

Business Name

No. of employees

No. of contractor

Email

Cell phone

Business Website