1.Where is your business located?

Perth

Smiths Falls

Carleton Place

Mississippi Mills

Beckwith

Tay Valley

Montague

Drummond North Elmsley

Lanark Highlands

2.How large is your business?

1-10 employees

10-50 employees

50-100 employees

100+ employees

3.What is your industry?

Food and drink (restaurant, brewery, grocery)

Retail (retail store or shop)

Professional services (legal, accounting)

Health services (chiropractor, massage therapist)

Real estate

Manufacturing

Arts & Entertainment

Other (please specify)

4.What is your level of annual sales (gross)?

Less than $50,000

$50,000 to $75,000

$75,000 to $100,000

$100,000 to $150,000

Greater than $150,000

5.Over the past year and a half, please indicate if your business revenue has:

Declined

Stayed the same

Increased

6.If your business revenue has declined, please indicate what percentage that decline has been.

Less than 10%

10-20%

20-30%

30-40%

40-50%

50-60%

60-70%

70-80%

80-90%

90-100%

Other (please specify)

7.If your business revenue has increased, please indicate what percentage that increase has been.

Less than 10%

10-20%

20-30%

30-40%

40-50%

50-60%

60-70%

70-80%

80-90%

90-100%

Greater than 100%

Other (please specify)

8.How confident are you that you will be able to remain in business for the NEXT 6 MONTHS? 

Not at all confident

Unconfident

Neither confident nor unconfident

Confident

Extremely confident

9.How confident are you that you will be able to remain in business for the NEXT YEAR? 

Not at all confident

Unconfident

Neither confident nor unconfident

Confident

Extremely confident

10.Is there anything you need that you are not receiving that could make a difference in your business continuing to operate in 2022?