COVID-19 Recovery - Small Business Survey

2. Name:
3. Business Name:
5. Business Address (street, zip code):
6. Operating Hours:
8. Business phone:
9. Email:
11. Business website:
12. Facebook/Twitter:
14. 1. What type of business do you operate?
    -- Select One --Food & DiningHospitalityRetailFIRE (finance, insurance or real estate)Service Knowledge/Media ProductionResearch & DevelopmentPersonal Care/Body Work ServicesFitness/RecreationTransportationAutomotive ServicesConstructionStorage/WarehousingManufacturingEnergy/UtilitiesMiscellaneous/Other (please complete field to the right)
15. Miscellaneous/Other:
17. 2. Does your business offer, or plan to offer in the near future, take-out, curbside pickup or delivery service?

    1. Yes, take-out
    2. Yes, curbside pickup
    3. Yes, delivery
    4. No
    5. Other (please complete field to the right)
18. Other:
20. Do you sell gift cards online? If yes, please provide shareable link or info on how someone can purchase one from you.
22. 3. How can your local community support you to resume regular business operations as soon as possible?
24. 4. Please describe the size of your business, in terms of revenue and employees:

    1. Less than 6 employees
    2. 6-10 employees
    3. 11-20 employees
    4. 21-50 employees
    5. 51-100 employees
    6. 101-250 employees
    7. 251+ employees

    1. Less than $100,000 annual revenue
    2. $100,000 - $250,000 annual revenue
    3. $250,001 - $500,000 annual revenue
    4. $500,001 - $1,000,000 annual revenue
    5. $1,000,001 - $2,500,000 annual revenue
    6. $2,500,001 - $5,000,000 annual revenue
    7. $5,000,001+ annual revenue
26. What percentage of your work force works remotely (from home), or can work remotely?
28. 5. How long has your business been in operation?
29. 6. Do you own or lease your place(s) of business?
31. 7. Do you have Business Interruption Insurance?
32. 8. Do you have a Disaster Recovery Plan in place for your business?
34. 9. Do you have contingency plans in place for supporting your employees in case of business closure?
36. 10. Since the onset of COVID19-related restrictions, how has your business activity changed? Mark an answer in each column:

    1. 0 – 10% drop in revenue
    2. 11 – 30% drop in revenue
    3. 31 – 50% drop in revenue
    4. 51 – 70% drop in revenue
    5. 71 – 90% drop in revenue
    6. More than 91% drop in revenue
    7. Revenue has increased

    1. Less than $5,000 drop in revenue
    2. $5,001 - $10,000 annual revenue
    3. $10,001 - $25,000 annual revenue
    4. $25,001 - $50,000 annual revenue
    5. $50,001 - $100,000 annual revenue
    6. $100,001 - $250,000 annual revenue
    7. $250,000+ drop in revenue
38. 11. Has the COVID19 epidemic affected your supply chain through price increases or supply interruption for materials/services required to operate your businesses? If yes, please describe:
40. 12. Do you have sources of credit or other resources to cover revenue losses due to business interruption from the COVID19 epidemic?
42. 13. Have you contacted lenders or other sources of credit for financial assistance to cover revenue loss/business interruption from the COVID19 epidemic?

    1. Yes
    2. No, not yet
    3. Unnecessary
    4. Lenders are not responsive
44. 14. If your business is closed due to COVID19 epidemic, what sort of help do you require to resume business operations?

    1. Technical Assistance
    2. Best Practices Information
    3. Assistance Referrals
    4. Employee Assistance
    5. Financial Assistance
    6. Other (please complete field to the right)
45. Other:
47. 15. If you have had to reduce the number of your employees due to COVID19 revenue loss, do you plan on making these reductions permanent?
49. 16. What are your top three (3) concerns for the future, in terms of local, state and national economic trends?
51. 17. Do you have any other thoughts about your business operations in the face of the COVID19 epidemic?
53. Thank you for answering this survey – We appreciate your response! Stay in the know with the City of Framingham. Text: JOIN FRAMINGHAMMA to 30890 for City COVID-19 Information Updates.
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55. Submit

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