STOCKTON IMPACT CORPS
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Please fill your information
*
Indicates required field
Name
*
First
Last
Company
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Email
*
Phone Number
*
What is your industry?
*
Accommodations/Food
Agriculture
Arts/Entertainment
Construction
Health Care
Manufacturer/Producer
Nonprofit
Retail
Services
Wholesale
Other
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 do you expect your revenue/sales will be affected by COVID-19?
*
0%
10%
25%
50%
75%
100%
Have you received any government aid? (Check all that apply)
*
NONE
LOAN
GRANTS
TAX WAIVERS
OTHER
How is your business adjusting operations?
*
NO ADJUSTMENT
HOURS OF OPERATION CHANGED
DELIVERY/SALES CHANGED
INCREASED ONLINE PRESENCE/SALES
REMOTE WORK
How long can your business weather economic shutdowns?
*
1 Week - 1 Month
1 - 3 Months
3 - 6 Months
6 Months - 1 Year
Unsure
How many employees do you have?
*
1-5
6-10
15-25
26-50
50+
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?
*
Submit
Home
Covid-19 Info
Survey
About Us
Mission and Vision
Board + Team Members
Community Partners
Our Impact
What We Do
Existing Businesses
Start-Ups
Nonprofits
Financial Literacy
Get Involved
Student Associates
Volunteers
Contribute
Small Business Financial Resources
New Page