Kokomo Forward Local PPE Supplies and Other Resources Survey

Question Title

* 1. Please provide your organization's information and appropriate contact for customers to reach out to.

Company Rep

Company Name

Address

Address 2

City/Town

Email Address

Phone Number

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* 2. Are you currently a member of the Greater Kokomo Chamber of Commerce?

Yes

I don't know

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* 3. What local PPE or other business resource products do you have or supply? (select all that apply)

Hand sanitizer

Face shields

Face masks (paper or surgical masks)

Face masks (N95)

Face masks (handmade)

Gloves

Disinfectant wipes

Disinfectant spray

Soap

Temporary walls

Plexi-glass installments

Floor signage (i.e. stickers) often used for social distancing marking

Signage (ability to create signage, banners, etc)

Printing services

Other products and services to help businesses reopen (please specify)

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* 4. Are you taking orders through your website? If yes, please provide the website address here. If no, please type no.

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* 5. Are you taking orders over the phone? If yes, please provide the phone number people can call. If no, please type no.

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* 6. Are you taking orders by email? If yes, please provide the email address for ordering. If no, please type no.

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* 7. How are customers able to get their orders?

Physical pickup from inside your location (in store)

Curbside pickup

Delivery

Mail products

Other (please specify)

Question Title

* 8. What is the address for pickup (in store or curbside)? If physical pickup is not available or you are only delivering or mailing your products, please type "N/A" below.

Kokomo Forward Local PPE Supplies and Other Resources Survey

Question Title

* 1. Please provide your organization's information and appropriate contact for customers to reach out to.

Question Title

* 2. Are you currently a member of the Greater Kokomo Chamber of Commerce?

Question Title

* 3. What local PPE or other business resource products do you have or supply? (select all that apply)

Question Title

* 4. Are you taking orders through your website? If yes, please provide the website address here. If no, please type no.

Question Title

* 5. Are you taking orders over the phone? If yes, please provide the phone number people can call. If no, please type no.

Question Title

* 6. Are you taking orders by email? If yes, please provide the email address for ordering. If no, please type no.

Question Title

* 7. How are customers able to get their orders?

Question Title

* 8. What is the address for pickup (in store or curbside)? If physical pickup is not available or you are only delivering or mailing your products, please type "N/A" below.

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* 9. Anything else we should know about or you would like to share with the chamber?