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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.
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1.
Contact Information
(Required.)
Business Name
Contact Name
Address
Address 2
City
State
Zip
Email Address
Phone Number
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)
3.
Who is your business' primary lending source/bank?
4.
Currently open for business?
Yes
Yes, but with modified hours/practices
No
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
Large Negative Effect
Medium Negative Effect
Small Negative Effect
No Effect
Positive Effect
Don't Know
Sales/Revenue expected over the upcoming month
Large Negative Effect
Medium Negative Effect
Small Negative Effect
No Effect
Positive Effect
Don't Know
Sales/Revenue expected over the next six months
Large Negative Effect
Medium Negative Effect
Small Negative Effect
No Effect
Positive Effect
Don't Know
6.
Do you have business interruption insurance?
Yes
No
Unsure
7.
Will your business interruption insurance cover COVID-19?
Yes
No
Unsure
8.
How many full-time employees do you currently have?
9.
How many part-time employees do you currently have?
10.
Do your employees have the type of work that allows them to work remotely?
Yes
No
11.
Do you have a plan to allow your employees to work remotely?
Yes
No (please specify "Why Not?")
12.
Do you anticipate terminating employees as a result of COVID-19?
Yes
Yes, already have
No
13.
Key factors impacting business operations
(Check all that apply)
Product Supply
Short Term Capital
Customer Base
Lack of Workforce
Other (please specify)
14.
Is there any specific way Sherburne County, our cities and non-profits can assist you right now?
15.
Please share with us other ways your business has/is/will change because of COVID-19 impacts.
16.
Would you like to be contacted with more information about emergency relief programs and services?
Yes
No
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:
Current Progress,
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