COVID-19 Business Impact Survey Sherburne County is seeking to understand how COVID-19 is impacting area businesses. The information gathered will be used to better understand and support businesses and to inform the development of short and long term recovery resources. OK Question Title * 1. Contact Information Business Name Contact Name Address Address 2 City State Zip Email Address Phone Number OK Question Title * 2. Business Type Auto Business Support Tech Construction/Contractors Education Entertainment Food & Dining Healthcare Legal & Financial Manufacturing Retail Personal Care/Services Real Estate Travel/Transportation Non-profit Other (please specify) OK Question Title * 3. Who is your business' primary lending source/bank? OK Question Title * 4. Currently open for business? Yes Yes, but with modified hours/practices No OK Question Title * 5. How has COVID-19 affected sales/revenue in your business so far this year, and what impact do you expect in the near future? Large Negative Effect Medium Negative Effect Small Negative Effect No Effect Positive Effect Don't Know Sales/Revenue to date in 2020 Sales/Revenue to date in 2020 Large Negative Effect Sales/Revenue to date in 2020 Medium Negative Effect Sales/Revenue to date in 2020 Small Negative Effect Sales/Revenue to date in 2020 No Effect Sales/Revenue to date in 2020 Positive Effect Sales/Revenue to date in 2020 Don't Know Sales/Revenue expected over the upcoming month Sales/Revenue expected over the upcoming month Large Negative Effect Sales/Revenue expected over the upcoming month Medium Negative Effect Sales/Revenue expected over the upcoming month Small Negative Effect Sales/Revenue expected over the upcoming month No Effect Sales/Revenue expected over the upcoming month Positive Effect Sales/Revenue expected over the upcoming month Don't Know Sales/Revenue expected over the next six months Sales/Revenue expected over the next six months Large Negative Effect Sales/Revenue expected over the next six months Medium Negative Effect Sales/Revenue expected over the next six months Small Negative Effect Sales/Revenue expected over the next six months No Effect Sales/Revenue expected over the next six months Positive Effect Sales/Revenue expected over the next six months Don't Know OK Question Title * 6. Do you have business interruption insurance? Yes No Unsure OK Question Title * 7. Will your business interruption insurance cover COVID-19? Yes No Unsure OK Question Title * 8. How many full-time employees do you currently have? OK Question Title * 9. How many part-time employees do you currently have? OK Question Title * 10. Do your employees have the type of work that allows them to work remotely? Yes No OK Question Title * 11. Do you have a plan to allow your employees to work remotely? Yes No (please specify "Why Not?") OK Question Title * 12. Do you anticipate terminating employees as a result of COVID-19? Yes Yes, already have No OK Question Title * 13. Key factors impacting business operations (Check all that apply) Product Supply Short Term Capital Customer Base Lack of Workforce Other (please specify) OK Question Title * 14. Is there any specific way Sherburne County, our cities and non-profits can assist you right now? OK Question Title * 15. Please share with us other ways your business has/is/will change because of COVID-19 impacts. OK Question Title * 16. Would you like to be contacted with more information about emergency relief programs and services? Yes No OK Question Title * 17. Does your business currently any of the following services that you would like us to share with the public? Online Sales Online Gift Card Sales Carry-Out Delivery Services If so, please provide website and/or phone number here: OK DONE
