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* 1. Please enter your contact Information.

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* 2. At what percentage of your total operating capacity are you currently working?

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* 3. Are you experiencing challenges with your supply chain?

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* 4. What are your sales today versus one year ago?

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* 5. Are you currently working a modified schedule or do you plan to start a modified schedule?

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* 6. Have you had a reduction in your workforce as a result of the COVID-19 ( Please check all that apply.)

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* 7. If your workforce has been reduced or you anticipate a reduction, please indicate how many employees will be impacted.

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* 8. Do you need additional information about available programs and resources if, and if so, in which areas?

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