1.Where is your company located (if you have multiple facilities, indicate the location of your facility)?

State/Province

Country

2.How many employees (total) work at your facility?

1-10

11-25

26-50

51-200

201-500

500+

I don't know

3.Use the table and drop-down menus below to describe the businesses your company utilizes/contracts with in the following areas.

Number of Companies

Total Expenditures

Percent Small Business

Maintenance/repair support/services.

None1-23-56-10More than 10

NoneLess than $100,000$100,001 to $500,000$500,001 to $999,999$1 million to $5 millionMore than $5 million

NoneLess than 10 percent11 to 25 percent26 to 50 percentMore than 50 percent

Materials/technical resources/supplies.

None1-23-56-10More than 10

NoneLess than $100,000$100,001 to $500,000$500,001 to $999,999$1 million to $5 millionMore than $5 million

NoneLess than 10 percent11 to 25 percent26 to 50 percentMore than 50 percent

Business operations/consultants.

None1-23-56-10More than 10

NoneLess than $100,000$100,001 to $500,000$500,001 to $999,999$1 million to $5 millionMore than $5 million

NoneLess than 10 percent11 to 25 percent26 to 50 percentMore than 50 percent

Physical infrastructure/facilities maintenance/construction/housekeeping.

None1-23-56-10More than 10

NoneLess than $100,000$100,001 to $500,000$500,001 to $999,999$1 million to $5 millionMore than $5 million

NoneLess than 10 percent11 to 25 percent26 to 50 percentMore than 50 percent

Other.

None1-23-56-10More than 10

NoneLess than $100,000$100,001 to $500,000$500,001 to $999,999$1 million to $5 millionMore than $5 million

NoneLess than 10 percent11 to 25 percent26 to 50 percentMore than 50 percent

4.Share any comments regarding your use of other businesses, particularly those in your local community, small businesses or those that for whatever reason would be severely disrupted by the loss of your investment.