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Business Impacts of COVID-19 Survey
Thank you for filling out this survey. As the City of Philadelphia's Department of Commerce, we're primarily focused on impacted businesses within Philadelphia County.
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1.
Contact Information
(Required.)
Full Name (First, Last)
Business Name
Business Address
Business ZIP/Postal Code
Email Address
Phone Number
2.
Please describe your business loss due to COVID-19. Please describe any revenue decline, if applicable.
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3.
What was your annual business revenue last year?
(Required.)
<$100K
$100K-$299K
$300K-$499K
$500K-$999K
$1M-$2.9M
$3M-$4.9M
$5M-$9.9M
$10M+
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4.
Please estimate any revenue decline you've experiences as a result of COVID-19, if applicable
(Required.)
0%
<10%
10-20%
21-30%
31-40%
41-50%
51-60%
61-70%
71-80%
81-90%
91-100%
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5.
How many employees do you have?
(Required.)
0
1-5
6-10
11-20
21-50
51-99
100+
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6.
What is your industry?
(Required.)
Childcare
Construction
Hospitality (restaurant, catering, hotels)
Entertainment (theaters, cultural institution, etc.)
Manufacturing
Distribution/Logistics/Warehousing
Personal Services (barber shop, nail salon, dry cleaner, etc.)
Professional Services
Retail
Social Services
Other (please specify)
7.
Are you interested in other business services? Check all that apply.
Business Education Courses
Business Preparedness (general)
Financing Assistance
Legal Assistance
MWDBE certification
Understanding City Rules and Regulations for Businesses
Other (please specify)
