We are part of a nationwide effort to highlight how many restaurant industry jobs have been lost through layoffs or furloughs. Please take one minute to answer 4 quick questions.

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* 1. Restaurant Name (this will remain confidential)

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* 2. Where are you located?

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* 3. How many locations do you have? (Please entire precise number)

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* 4. How many employees have you laid off or furloughed without pay? (Enter precise number)

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