This is not an application for assistance

This survey is for data collection to better understand the needs of the Madison County business community. This data will enable us to better advocate for additional resources to help our local economy during this pandemic.

Question Title

* 1. Contact Information

Question Title

* 2. Do you own or rent your business space?

Question Title

* 3. Has your business suffered economic damage as a result of the COVID-19?

Question Title

* 4. As of today, what is your estimated inventory loss?

Question Title

* 5. Are these losses covered by insurance?

Question Title

* 6. As of today, what is your estimated revenue loss?

Question Title

* 7. Are these losses covered by insurance?

Question Title

* 8. What is your total number of employees?

Question Title

* 9. Have you had to make layoffs or furloughs?

Question Title

* 10. If yes, how many employees have been affected?

Question Title

* 11. What status do these employees carry?

Question Title

* 12. Are you covering healthcare costs for impacted employees?

Question Title

* 13. What are your current business needs?

Question Title

* 14. What do you anticipate your needs being in 30 days?

Question Title

* 15. Your business is currently operating at what level?

Question Title

* 16. What types of assistance would be most helpful to your business?

Question Title

* 17. If business disruption continues at the current rate, how soon
will your business be at risk of closing permanently?

Question Title

* 18. If offered, would you be interested in training sessions aimed at modifications that could make your business more resilient to future pandemics?

Question Title

* 19. Additional Comments

0 of 19 answered
 

T