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* 1. How has COVID-19 impacted your business as of today's date?

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* 2. How do you see COVID-19 impacting your business in the next 1-3 months?

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* 3. At this time, what you are most concerned about, check all that apply.

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* 4. What revenue change will you have in March/April?

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* 5. How many employees have been/will be impacted?

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* 6. What types of relief efforts do you want to see at the local level?

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* 7. What types of relief efforts do you want to see at the state level?

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* 8. What types of relief do you want to see at the federal level?

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* 9. What type of industry does your business represent?

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* 10. If you are willing, please share your contact information (NOT Required)

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