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Millcreek Businesses COVID-19 Impact
1.
Name (First, Last)
2.
Business Name
3.
Business Address
4.
City
5.
State
6.
Email Address
7.
Phone Number
8.
What has been the impact thus far on your business from COVID-19?
Sales significantly down
Sales somewhat down
No Impact
Sales somewhat up
Sales significantly up
9.
Is your business impacted by the travel and tourism industry?
Yes
No
10.
In a few words, tell us your most immediate business need:
11.
Have you decided to reduce your hours or close your business temporarily?
Reduce hours
Close temporarily
Close permenently
Not closing or reducing hours
None of the above
12.
If you are facing, or have already needed to lay off, how many employees will that affect?
0
1-5
6-10
10-15
15+
13.
Are you currently hiring employees due to an increase in business?
Yes
No
14.
If you are looking to hire employees, would you like to be connected with other businesses who might be needing to lay-off their employees?
Yes
No
15.
If you are needing to lay-off employees, would you like to be connected with other businesses who might be interested in hiring your employees?
Yes
No
16.
How are you supporting your employees during this crisis? (special projects, food donations, etc)
17.
How are you engaging and educating your employees on COVID-19 information?
Social media
Signs
Training
Email
Teleconference
Not Applicable
Other (please specify)
18.
How are you engaging and educating your customers on COVID-19 information?
Social Media
Signs
In person
Email
Not applicable
Other (please specify)
19.
Does your company have a remote or teleworking policy that has been implemented regarding COVID-19?
Currently developing policy
No
Yes
Other (please specify)
20.
Why not?
Not feasible due to type of work
Not Feasible due to financial restraints
Not concerned
Other (please specify)
21.
Does your company leave policy contain guidance for these situations?
Yes
No
Currently developing
Other (please specify)
22.
What is the impact on your company's workforce with schools/daycare cancelled?
23.
Would you like to receive additional information on financial assistance related to COVID-19?
Yes
No
