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* 1. Have any of your employees been unable to work due to any local or state quarantine, shelter-in-place or shelter-at-home order?

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* 2. If some of your employees have been unable to work, why has this been the case? (check all that apply):

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* 3. If some of your employees have been unable or unavailable to work, how many aggregate workdays (no. of employees unavailable x no. of days unable or unavailable) has your business lost to COVID-19 suspected cases, diagnosed cases, quarantine/shelter-at-home or similar state or local orders?

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* 4. Have you lost customers or sales due to COVID-19?

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* 5. If yes on Q. 4, can you estimate a percentage of lost business?

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* 6. If you have lost customers or sales, why did you lose customers or sales? (check any that apply)

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* 7. Have you been prevented from undertaking any normal planting, cultivation or crop care or protection activity due to a lack of personal protective equipment of any type?

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* 8. If yes on Q. 7, what personal protective equipment is unavailable? (check all that apply)

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* 9. Have you at any time since mid-February 2020 ceased any operations due to COVID-19?

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* 10. If yes on Q. 9, what operations have you ceased?  (check all that apply)

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* 11. Have you terminated, furloughed, or laid off employees or otherwise reduced your workforce due to COVID-19?

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* 12. If you have reduced your workforce, why? (check all that apply)

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* 13. If you have reduced your workforce, have any absent employees used any of these types of leaves or benefits in relation to COVID-19? (check all that apply)

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* 14. Have you been able to recruit workers to replace any lost due to any COVID-19-related reason?

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* 15. If you have been able to recruit replacement workers, from what source(s)? (check all that apply)

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* 16. Has anyone in your immediate family lost off-farm income due to COVID-19?

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* 17. If anyone in your immediate family has lost off-farm income, why? (check all that apply)

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* 18. Do you plan to apply or have you applied for COVID-19 relief funding or take tax credits to defray the cost of mandated employee leaves or other unforeseen COVID-19-related expenses? (check all that apply)

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* 19. What commodity/commodities do you produce? (check all that apply)

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