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Address *

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How is your business operation(s) being impacted by COVID-19? (check all that apply) *

Increased Sales (Activity) Decreased Sales (Activity) No change

How many years in business? *

How is your business adjusting operations? *

Do you believe COVID-19 is going to disappear? *

Yes No

What are you doing to prevent the spread of COVID-19? (Check all that apply) *

Nothing: trying to keep business as usual right now Information: routinely sharing updates with employees & Customers(public) Awareness: Posting distancing, masks, sanitizing signs & others PPE: providing personal protective equipment (masks, sanitizer, etc.) Protection: Increasing barriers and cleaning of used spaces and objects. Restricting in-person gathering, to be under 10 persons. Restricting all in-in person gatherings; working remotely Implementing delivery systems (curve side, pick-up, delivery, etc.) Other (Share anything else you are doing in the text box at bottom of survey)

Have you read the CDC's "Guidance for cleaning and disinfecting businesses and public areas"? *

Yes No

Do you understand State and CDC compliance? *

Yes No

Would you like technical support to realign your business? *

Yes No More information Will call later

If support is needed, what type of information and/or support do you need the most right now? *

Complete for support

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