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* 1. Which specific municipality is your business located in?
(If you operate more than one business, or business location, Please complete this survey for each business/location separately)

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* 2. Which sector below best describes your business?

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* 3. What is your business structure?

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* 4. What was your business start date?

Date

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* 5. What is the current operating status of your business?

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* 6. How has COVID-19 impacted your revenue from March to September compared to last year?

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* 7. Is your business at risk of permanently closing due to the impact of COVID-19?

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* 8. Prior to the COVID-19 outbreak, based on March 1, 2020, approximately how many employees did you have, including yourself? (enter a single number, not a range)

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* 9. As of October 1, 2020, approximately how many employees did you have, including yourself? (enter a single number, not a range)

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* 10. How has COVID-19 impacted your staffing levels?

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* 11. Was/is it challenging to find new staff? (Check all that apply)

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* 12. Have you accessed any of the following support programs? (check all that apply)

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* 13. Have you been able to "pivot"/modify how you do business, please tell us very briefly what changes you have made?

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* 14. What are the top three concerns for your business looking forward?

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* 15. How badly do you need additional government support?

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* 16. What kind of additional supports would you like to see?

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* 17. Approximately how many more months do you expect that you can continue in business if the current conditions do not improve?

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* 18. Please tell us about your challenges or comments about what you have been going through and how you have been dealing with COVID-19 in your business.

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* 19. Please enter your contact information below:

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