COVID-19 Impacts to your Small Business Survey

The Health of Our Community and Our Small Businesses are Our Utmost Priority

We want to know how to best support you and your business in the midst of the news surrounding coronavirus (COVID-19). Please take a moment to lend your voice in this survey below.

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* 1. Please enter your contact information or enter "N/A" to remain anonymous.

Contact Name

Company Name

Business Type (ex. Restaurant, Retailer, Service Provider, etc)

City/Town

Email Address

Phone Number

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* 2. How would you rate the impact your business has felt since the outbreak of novel coronavirus (COVID-19)?

Positively impacted

Not impacted

Negatively impacted, but are able to navigate

Negatively impacted and might have to close business

Business is now closed indefinitely

Business is now closed permanently

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* 3. How many people do you employ?

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* 4. Do you plan to/have you laid off any employees?

Yes

Unsure

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* 5. What financial assistance have you secured or requested for your business:

Traditional financing

Small Business Administration (SBA) Disaster Loans

Grant funding

Credit cards

Mortgage refinance

Alternative financing

None

Other (please specify)

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* 6. How has your business adjusted in response to the current crisis?

New cleaning/safety protocols

Outreach to clients/customers notifying them of your safety precautions

Communicating health standards with employees

Adapting business hours

Providing new services (ex. curbside pick-up, etc)

Offering new discounts

Other (please specify)

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* 7. Check all resources that would be most valuable to your business at this time.

Labor and Employment Law (paid leave, disability and unemployment, remote work, etc.)

Access to Capital/Financing

Workplace Health & Safety

Marketing

Other (please specify)

COVID-19 Impacts to your Small Business Survey

The Health of Our Community and Our Small Businesses are Our Utmost Priority

Question Title

* 1. Please enter your contact information or enter "N/A" to remain anonymous.

Question Title

* 2. How would you rate the impact your business has felt since the outbreak of novel coronavirus (COVID-19)?

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* 3. How many people do you employ?

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* 4. Do you plan to/have you laid off any employees?

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* 5. What financial assistance have you secured or requested for your business:

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* 6. How has your business adjusted in response to the current crisis?

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* 7. Check all resources that would be most valuable to your business at this time.

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* 8. What type of law or regulatory change would help your business during this time (i.e., AB5, minimum wage increase deferment, etc.)

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* 9. What organization did you hear about this survey from?

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* 10. I would like someone to reach out to me with more information.