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* 1. Organization name. Your organization's name will not be shared without your permission.

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* 2. Which of the following categories best describes your organization's primary purpose or artistic discipline?

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* 3. Which of the following categories includes your organization's operating budget? This question will help determine how COVID-19 is impacting organizations of varying sizes.

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* 4. Which of the following categories best describes your organization's legal status?

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* 5. How many events such as performances, exhibitions, classes or lessons, meetings or conferences, readings, workshops, etc. has your organization had to cancel as a result of COVID-19?

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* 6. Estimate the total decrease in attendance for all of your organization's events as a result of COVID-19. Please enter a number, not a percentage.

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* 7. If your organization earns revenue from admissions to performances, events, exhibits, meetings, etc., please estimate how much your organization has lost in revenue from admissions as a result of COVID-19. Please enter a dollar amount, not a percentage.

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* 8. If your organization experienced the loss of non-admissions income as a result of the COVID-19, please estimate how much your organization has lost. (i.e., gift shop sales, sponsorships, contributed income, grants/contracts, facilities rentals, etc.). Please enter a dollar amount, not a percentage.

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* 9. If your organization has incurred unanticipated expenditures as a result of COVID-19, please estimate the total amount of unanticipated expenditures? (i.e., the adoption of new cleaning/disinfecting protocols, new technologies, cancellation fees, unexpected marketing expenditures as a result of schedule changes, etc.). Please enter a dollar amount.

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* 10. Has your organization taken any of the following actions directly as a result of COVID-19? (Check all that apply)

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* 11. If you responded above that your organization has already laid off or furloughed staff/artists/contractors, reduced salaries/payroll, and/or instituted a hiring freeze, do you anticipate that your organization will have returned to pre-COVID staff/employment/payroll levels by the end of 2021?

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* 12. Were you eligible for Payroll Protection Program funds?

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* 13. If you received Payroll Protection Program funds, how much did you receive? Please enter a dollar amount.

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* 14. Were you eligible for Shuttered Venue Operator funds?

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* 15. If you are eligible for Shuttered Venue Operator funds, how much did you expect to receive? Please enter a dollar amount.

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* 16. Has your organization already re-opened (i.e. resumed in-person programming), or has it identified a target date for re-opening?

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* 17. Please share a story about the impact of COVID-19 on your organization. (Optional, but important!)

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