COVID-19 Economic Impact

Note to Respondents

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* 1. What type of business do you operate?

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* 2. Does your business fit under any special business ownership classifications?

Sole Proprietorship

Women-Owned

Minority-Owned

Veteran-Owned

Disability-Owned

Other (please specify)

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* 3. Is your business currently operating?

Yes, as normal

Yes, but with reduced operations/staffing/services

No, business closure (temporary)

No, business closure (permanant)

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* 4. Number of full-time employees PRIOR TO COVID-19

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* 5. Number of part-time employees PRIOR TO COVID-19?

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* 6. CURRENT total number of Full-time employees?

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* 7. CURRENT number of Part-time employees ?

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* 8. How many employees have been laid off due to COVID-19?

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* 9. How may employees have you furloughed as a result of COVID-19?

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* 10. Do you have business interruption insurance?

Yes

Other (please specify)

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* 11. Have you experienced a break in your supply chain?

Yes

If Yes, please describe

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* 12. Have you applied for assistance provided by your local government to offset losses due to COVID-19?

Yes

If Yes, please describe what program and how much

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* 13. Have you applied for assistance provided by the CARES Act through the U.S. Small Business Administration (SBA)?

Yes