COVID 19 Impact Survey General Questions Question Title * 1. Business Type Automotive Construction - Commercial or Residential Finance Health Care Human Resources/Staffing Insurance Law Manufacturing Marketing/Sales Non Profit Real Estate/Mortgage Restaurants/Catering Retail Technology Other (please specify) OK Question Title * 2. Have you had to make a reduction in your workforce due to the COVID-19 pandemic? Yes No OK Question Title * 3. What steps did your organization take in response to COVID-19 (check all that apply) Essential Business per Governor's Executive Order Modified Production/Services Offered Special offers for customers/consumers Employees working remotely Employees Furloughed Business has not made any changes Business Closed Permanently Furloughed Employees Other (please specify) OK Question Title * 4. How many employees does your organization employ 1-5 6-10 11-20 21-50 51-99 100+ OK Question Title * 5. Did you receive any funding or grants during COVID-19? Yes No OK Question Title * 6. What is the most critical issue/need your business is facing right now? OK Question Title * 7. What coalitions or business related organizations are you a member of? OK Question Title * 8. Contact Information Name * Company * Address Address 2 City/Town State/Province ZIP/Postal Code Country Email Address * Phone Number OK NEXT