Thanks for taking the time to share information about your business to help us understand the impact of COVID-19 on Dallas’ business community.

The information that you submit will be kept confidential. You may skip any question that you prefer not to answer.


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* 1. Have you experienced any impact on your business as a result of COVID-19?

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* 2. Estimate the impact on revenue that your business has experienced due to COVID-19 since March 2020.

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* 3. Do you anticipate needing financial assistance for your business as a result of COVID-19?

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* 4. If yes, please indicate what funds would be used for:

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* 5. If yes, would you prefer access to a smaller amount ($10,000 or less) that may not be required to be paid back or a larger amount ($10,000-$50,000) that would be paid back at a very low interest rate over the course of 3-5 years?

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* 6. How many employees do you have?

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* 7. What is the annual revenue for your business?

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* 8. What is your industry?

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* 9. What is the primary zip code for your business?

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* 10. Any comments for city staff on resources or programs that would help?

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* 11. If you would like additional information about programs that might provide assistance, please provide the following:

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