Cowlitz - Lewis Business Disaster Survey 1. Business Information Question Title 1. Where is the business located? Cowlitz County Lewis County Other (please specify) Question Title 2. What is your business zip code? Question Title 3. What type of business do you operate (select all that apply)? Agricultural, forestry, fishing & hunting, and mining Arts, entertainment, recreation, accommodation & food services Construction Educational, health and social services Manufacturing Other services (except public administration) Wholesale trade Public administration Retail trade Transportation & warehousing, and utilities Information Finance, insurance, real estate, rental/leasing Professional, scientific, management, administrative, and waste management services Non-profit Other (please specify) Question Title 4. How many years have you been in business? Less than 1 year 1-3 years 4-10 years 11-25 years Over 25 years Other (please specify) Question Title 5. How many employees does the business have? 1-5 6-19 20-49 50-99 100-499 500-999 More than 1000 Question Title 6. What is your yearly gross revenue? Less than $100,000 $100,000 – 500,000 $500,001 – 1,000,000 $1,000,000+ Question Title 7. Does the company own or lease the building(s) where the business is located? Own Lease Own and Lease Other (please specify) Go To Next Page