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* 1. What are your top 3 business concerns right now?

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* 2. What are your clients asking you for right now? Please rank in order the most frequent or highest priority ask

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* 3. Given the current COVID19 measures across the world, please rate how confident you are that following statements are true for your business.

  Not at all confident  Slightly confident  Neutral Moderately confident  Very confident 
My business can still operate at a healthy level for 1 month
My business can still operate at a healthy level for more than 3 months
I have the right technical resources to support my business through the next 3 months
I have the right talent support my business through the next 3 months or beyond
I have strong enough pipeline of prospects to support my business through the rest of the year

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* 4. Are you planning on leveraging any state or federal programs to support your business during this time? (Please list any that apply)

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* 5. Where are you located? (Please Enter Zip Code)

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* 6. How many employees do you have?

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* 7. Was your workplace prepared for COVID19?

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* 8. Are you an essential or nonessential business and what would you have done differently?

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* 9. How has technology helped?

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* 10. Optional: Company Name

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