COVID-19 Business Impact Survey

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

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 2. What is your industry?

Healthcare

Lodging

Manufacturing

Retail

Banks and Credit Union

Construction

Professional Services

Non-Profit

Insurance

Real Estate

Technology

Arts

Other (please specify)

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

We have completely closed our physical space of business

We have adjusted our hours of operation

Our supply chain is interrupted

We are experiencing decreases in sales (or donations if you are a non-profit)

Orders are being cancelled

Orders are being increased

The market is causing us to draw on our line of credit

We are starting to restrict spending because of the uncertainty

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

High (this may put us out of business)

Medium (this is going to significantly impact our financials)

Low (this may impact us financially but we are confident we can weather the storm)

None

Other (please specify)

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

Other (please specify)

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

Revenue/Sales

Customers shifting to other suppliers

Loss of employees/talent

Employee well-being

Profit impact

Debt management

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

1-10 Days

Multiple Weeks

Months

Other (please specify)

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* 8. Have you had to furlough employees?

Yes (how many)

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* 9. Have you had to layoff employees?

Yes (how many)

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* 10. Do you anticipate a reduction in workforce?

Yes (how many)

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

Nothing – trying to keep business as usual right now

Routinely sharing updates with employees

Routinely sharing updates with our customers/the public

Encouraging employees to work from home depending on their position

Requiring employees to work from home depending on their position

Other (please share anything else you are doing and/or clarify any responses)

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

Informing employees how insurance covers the cost of being tested

Informing employees how to use Telemedicine and encouraging them to use it if symptoms arise

Assisting employees that are ill for long periods of time with filing a claim if applicable (based on short term disability policies)

Allowing employees to use all available sick and vacation paid time off if they are ill or quarantined

Allowing usage of other types of paid time off such as bereavement, floating holiday, volunteer, etc.

Giving employees an "advance" on wages or paid time off

Sending non-exempt/hourly employees home without pay if they are ill and/or as adjustments to operations are made

Closing the business for a period of time and not paying any employees during closure

Continuing to pay wages to employees that are off work for quarantine or illness

Other (please share anything else you are doing and/or clarify any responses):

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

Offering online promotions/discounting

Investing in marketing campaigns

Connecting with key customers to maintain relationships/check-in

Refocusing on products or services that are in-demand

Offering delivery

Partnering with other local businesses

Other (please specify)

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

If you have received a loan, do you mind sharing for how much and any surprise stipulations below:

COVID-19 Business Impact Survey

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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?

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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:

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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?