Dear Business Owner,

As the economic effects of the pandemic begin to surface, the Chamber will be continually collecting data and information from our businesses. We have put together a COVID-19 Impact Survey to gather information on what effects the outbreak has had on your business, services you need most immediately and the role you'd like for the Chamber to play.

Please take a moment to answer the following questions. All information will be reported in general terms and individual business information will remain confidential. Thank you in advance for your participation.

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* 1. Please provide your contact information 

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* 2. What is your industry?

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* 3. How are your business's operations being impacted by COVID-19? (check all that apply)

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* 4. What level of impact do you expect this to have on your business? (choose one)

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* 5. How has COVID-19 affected sales/revenue in your business so far this year, and what impact do you expect in the near future?

  -75% -50% -25% neutral +25% +50% +75%
Sales/revenue to date in 2020
Sales/revenue expected over the coming month
Sales/revenue expected over the next six months 

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* 6. What aspect of your business are you most concerned about?

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* 7. How many days of work have been lost or do you expect to lose?

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* 8. Have you had to furlough employees?

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* 9. Have you had to layoff employees?

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* 10. Do you anticipate a reduction in workforce?

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* 11. What is your business doing to address employee and customer concerns and mitigate risk? (check all that apply)

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* 12. How are you handling HR & Payroll issues as they relate to COVID-19? (check all that apply)

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* 13. To maintain customer base, my business is (select all that apply):

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* 14. Have you applied for government relief through the CARES act and what is your status:

  Have not applied Applied Pending Approved Received a loan 
Paycheck Protection Program 
Economic Injury Disaster Loan Assistance
Economic Injury Disaster Loan Assistance - Advance

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* 15. Are there any permanent changes you will be making to your business as we move on the other side of this?

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* 16. What type of information and/or support do you need most right now?

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* 17. What role would you like to see the Chamber of Commerce play?

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