SMALL BUSINESS SURVEY - COVID-19 CHALLENGES

Business Demographics

Please provide your business information:

Business Name:
City:
Zip Code:
County:
Business Website: Optional
Business Email:
Business Phone:

Is your business designated as a minority business?

---YesNoNot Sure

In what industry is your business? Please check all that apply.

Banks/FinancialsConstructionEducationEntertainmentFood/Restaurant IndustryGovernmentHealthcare/MedicalInsuranceLodgingManufacturingMediaNon-ProfitReal EstateRetailProfessional Services (e.g., Attorney, Accountant, Financial Adviser, Consultant, Engineer)TechnologyTransportationSanitation/CleaningSecurityService-GeneralOther

Does your business operate online?

---NO (0%)Limited (1 – 25%)Moderately (26 – 50%)Majority (51- 99%)All ONLINE (100%)

Number of full-time employees including yourself

---1-56-1011-1516-2526-5050 or more

Average gross monthly sales/revenue?

Business Owner Demographics

Your Name:
Your Business Title:
Your Email Address:
Your Phone Number:

What is your age?

What is your gender?

---MaleFemale

What is your race?

---AsianAmerican Indian or Alaskan NativeBlackWhiteTwo or more racesOther

Are you Hispanic?

---YesNo

Are your Caribbean/West Indian?

---YesNo

What is the highest level of education you've completed?

---Less than high schoolHigh school diploma or equivalent (GED)Vocational training certificationAssociate’s degreeBachelor’s degreeMaster’s degreePhDProfessional degree such as MD or JD

COVID Impact on your Business

What level of negative impact has COVID-19 had on your business, if any?

---NoneLow (we are confident we will be OK)Medium (moderate impact on our business financials)High (we might go out of business)

What level of positive impact has COVID-19 had on your business, if any?

---NoneLow (slight increase in business financials)Medium (moderate increase in business financials)High (significant increase in business financials)

How much confidence do you have that your business will survive the next quarter?

---No confidenceLow confidenceModerate confidenceHigh confidence

How has your business operation been impacted by COVID-19? Please check all that apply.

Not impactedOrders are being cancelledThere is a significant INCREASE in consumer demand for our businessWe are experiencing a DECREASE in sales/donations if you are a non-profitOur business pivoted more to ONLINE services/salesThe business supply chain has been interruptedWe are drawing on our line(s) of creditDue to uncertainty, the business is starting to restrict spendingOther

How has your business hours of operation been impacted by COVID-19?

---The hours of operation have remained the sameThe hours of operation have decreasedThe hours of operation have increasedNot applicable

How has the physical location of your business been impacted by COVID-19?

---The physical place of the business has remained the sameThe physical place of the business is temporarrily closedThe physical place of the business is permanently closedNot applicable

How has the online consumer demand for your business been impacted by COVID-19?

---Online consumer demand has remained the sameOnline consumer demand has decreasedOnline consumer demand has increasedNot applicable

Has your business experienced a decrease in revenue due to COVID-19?

---YesNoNot Sure

Has your business experienced a increase in revenue due to COVID-19?

---YesNoNot Sure

Has your business faced a reduction in workforce?

---YesNoNot Sure

COVID Challenges for your Business

Which of the following are challenges your business has faced in response to COVID-19? Please check all that apply.

Applying for and obtaining financial assistance (e.g., loans, grants)Ensuring that one has all that is required (license, proper accounting records, etc.) to be eligible for financial assistanceMarketing of products/servicesConducting business through an online modalityServing communities who may have challenges using online technologyNetworkingReinventing your business model – how to pivot in the age of COVID-19Access to COVID-19 resource information from your (CITY)Access to COVID-19 resource information from the (COUNTY)Access to COVID-19 resource information from the (STATE)Access to COVID-19 resource information from the (FEDERAL GOVERNMENT)Other

What are some of the needs that would allow your business to respond to COVID-19 in a more effective manner? Please check all that apply.

Education and training in effective business practicesEducation and training in applying for financial assistance due to COVID-19MarketingNetworking and establishing product/service credibilityTraining in using technology to conduct business in an online environmentOther

Have you applied for financial assistance in response to the challenges posed by COVID-19?

---YesNo

What challenges have you experienced in obtaining financial assistance? Please check all that apply.

Having all the documents (license, accounting records etc.) required for a successful applicationNot knowing where to apply for such assistanceNot having the expertise or knowledge to complete an applicationOther

How is your business engaging/educating employees on COVID-19? Please check all that apply.

Social media (Instagram, Facebook, etc.)Training (in person)Training (virtually)Business websiteEmailOther

How is your business engaging/educating customers on COVID-19? Please check all that apply.

Social media (Instagram, Facebook, etc.)Training (in person)Training (virtually)Business websiteEmailOther

How is your business receiving information that will help inform decision-making regarding COVID-19? Please check all that apply.

Government agency (CITY)Government agency (COUNTY)Government agency (STATE)Government agency (FEDERAL)TV and/or radioSocial mediaWebsitesWord-of-mouthOther

What type of support/information do you need most at present?