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* 1. What is the name of your business?

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* 2. What is your contact information in order to provide updates on the COVID-19 crisis business resources and support?

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* 3. Are you in Boulder or Weld County

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* 5. Has your company been in business for over a year?

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* 6. Average full-time employees your business employs as of today:

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* 7. Have there been employment changes in the past 30 days?

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* 8. What percentage of your total workforce have you laid off or furloughed since 03/01/2020?

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* 9. What changes have you recently made to your business in response to the COVID-19 pandemic? (check all that apply)

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* 10. What type of economic impacts is your business currently experiencing? (check all that apply)

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* 11. What is the total estimated loss of business over the past 30 days?

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* 12. What kind of targeted assistance might be most impactful to the continuity of your operations in the next 30-60 days? (check all that apply)

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* 13. Are you planning on applying or already opened an application for a SBA Economic Injury Disaster Loan? 

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* 14. When was the last time you connected with the Small Business Development Center (SBDC) ?

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* 15. With many organization looking to assist businesses during this time, with limited funds, what is the minimum loan/grant amount that would be useful to your business to cover employee salaries, rent or operating expenses? 

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* 16. What would you use loan/grant funding for? (check all that apply)

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