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* 1. Club name

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* 2. What is your Club's expected income in the coming month?

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* 3. What is your Club's expected total loss of income for a season?

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* 4. Please rate your clubs main revenue driver throughout the season? With 1 being least important and 5 being highest.

Please outline your Club's total yearly outgoings for the items listed below.

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* 5. Management licence/lease

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* 6. Utilities

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* 7. State Sporting Association fees

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* 8. Staff expenses

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* 9. Food or drink expenses

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* 10. Uniforms

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* 11. Facility purchases

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* 12. Other

As there is a total closure of the City’s Clubs, how many weeks will you be able to keep paying the following?

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* 13. Management license/lease fees

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* 14. Utilities

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* 15. Staff expenses

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* 16. State Sporting Associations fees

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* 17. Please answer the following questions.

  Strongly disagree Disagree Neutral Agree Strongly agree
It is very challenging right now to communicate with parents, members, employees, volunteers and stakeholders.
It is very challenging to ensure financial stability.
It is very challenging to get the information/resources/equipment I need to adapt to the COVID-19 response.

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* 18. Please provide any other comments you may wish to add at this time.

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* 19. What specific support would benefit your club and members the most during this difficult time?

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* 20. Please leave your contact details if you would like us to call or email you.

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