Please complete this 5-minute survey to understand how businesses were impacted by recent storms.

This information is being compiled by the County to better understand the economic impact of the Federal Disaster, and to support requests for financial support to various agencies.

Your business may have been impacted in a number of ways, including road detours, lack of visitation, supply chain issues, or costs of mitigation. 

Information will be kept confidential and will not be passed on without your permission. To learn more about this survey, contact Mario Pena at mario.pena@countyofmerced.com or (209) 724-2046. 

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* 1. Was your business forced to close because of the storms?

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* 2. If so, how many days was your business closed?

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* 3. If you are still closed, when is your expected date of re-opening?

Date

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* 4. Have you experienced a loss of business or revenue due to the storms? (i.e. wind, rain, and flood). This may include indirect impacts such as fewer customers accessing your business.

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* 5. If possible, please provide an estimate of this revenue loss. 

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* 6. Has your business experienced property loss or building damage?

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* 7. If so, please describe: 

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* 8. Do you expect you might experience storm-related economic impact in the next 12 months? (Ex: future impacts to crops or livestock, or future loss of business)

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* 9. What month might this impact be known?

Date

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* 10. Does your business have insurance to partially or fully cover revenue or property loss/damage? 

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* 11. Did you temporarily layoff employees? 

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* 12. If you had to layoff employees, approximately how may employees? 

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* 13. Please provide us with your contact information.

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* 14. Below is a list of important resources, with links to access more information. Please check all the resources you would like us to contact you about. 

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* 15. Please let us know if you have any questions or leave a comment.

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