Millcreek Businesses COVID-19 Impact Question Title * 1. Name (First, Last) Question Title * 2. Business Name Question Title * 3. Business Address Question Title * 4. City Question Title * 5. State Question Title * 6. Email Address Question Title * 7. Phone Number Question Title * 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 Question Title * 9. Is your business impacted by the travel and tourism industry? Yes No Question Title * 10. In a few words, tell us your most immediate business need: Question Title * 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 Question Title * 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+ Question Title * 13. Are you currently hiring employees due to an increase in business? Yes No Question Title * 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 Question Title * 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 Question Title * 16. How are you supporting your employees during this crisis? (special projects, food donations, etc) Question Title * 17. How are you engaging and educating your employees on COVID-19 information? Social media Signs Training Email Teleconference Not Applicable Other (please specify) Question Title * 18. How are you engaging and educating your customers on COVID-19 information? Social Media Signs In person Email Not applicable Other (please specify) Question Title * 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) Question Title * 20. Why not? Not feasible due to type of work Not Feasible due to financial restraints Not concerned Other (please specify) Question Title * 21. Does your company leave policy contain guidance for these situations? Yes No Currently developing Other (please specify) Question Title * 22. What is the impact on your company's workforce with schools/daycare cancelled? Question Title * 23. Would you like to receive additional information on financial assistance related to COVID-19? Yes No Done