Businesses throughout the state of Hawaii are experiencing impacts from the recent wildfires. The Chamber of Commerce Hawaii is working with local business organizations, state leaders and federal agencies to maximize federal and state support and financial aid. If your business was impacted, please complete the survey below to help us collect data about businesses in need.

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* 1. Where (city) is your business located?

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* 2. Do you have more than 1 business in area impacted by wildfires? If so, how many?

1 10
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i We adjusted the number you entered based on the slider’s scale.

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* 3. What is your industry affiliation?

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* 4. If your business was not physically damaged by the wildfires, are you experiencing impacts related to the fires? If so, please check all that apply.

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* 5. If your business was located in an area where the wildfires occurred, what kind of business impacts affected you? (select all that apply)

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* 6. If your business was damaged in the recent fires, have you estimated a cost for the damages?

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* 7. Do you have business insurance coverage?

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* 8. Do you expect that your insurance will cover most or all of the damages?

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* 9. How many part-time and full-time employees do you have on payroll?

0 250 500 or more
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i We adjusted the number you entered based on the slider’s scale.

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* 10. How many jobs will be lost as a result of the fire damage?

0 250 500 or more
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i We adjusted the number you entered based on the slider’s scale.

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* 11. If you confirmed job losses in question 6, how many are permanently lost?

0 250 500 or more
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i We adjusted the number you entered based on the slider’s scale.

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* 12. How many employees will have their hours reduced or eliminated as a result of the fire damage?

0 250 500 or more
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i We adjusted the number you entered based on the slider’s scale.

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* 13. How much financial assistance do you think you will you need to fully recover and/or rebuild, if possible?

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* 14. What are your top 5 priorities to recover your business(es)? (Please rank  in order with 1 as most important and 5 is least important.

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* 15. What are your immediate needs or requests? How can we best help your business?

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* 16. Do you have a business continuity or disaster recovery plan?

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* 17. What barriers exist to stable operations for business after the wildfire?

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* 18. Is your business able to connect to utilities in order to be mostly function?

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* 19. What is your percentage of normal business activity?

0 100
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i We adjusted the number you entered based on the slider’s scale.

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* 20. Please provide your contact information below.

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