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Reviving & Rebuilding Rockland
Small Business
Your Name
*
First Name
Last Name
Business Name
*
Business Address
*
Street Address
Street Address Line 2
City
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Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
1. How has the pandemic adversely affected your organization?
*
Financial (payroll, rent, operating costs)
Personnel (retention, skilled workers)
COVID-19 Public health guidelines (cleaning, distancing, PPE)
Unanticipated costs (change in business model, infrastructure)
N/A
Other / Comments
2. How was your organization financially affected by the COVID-19 pandemic?
*
Payroll
Rent/Mortgage
Operating Expenses
Reduction in sales
N/A
Other / Comments
3. What were some of the Personnel challenges your organization has faced due to the COVID-19 pandemic
*
Employee obstacles (change in work hours, responsibilities)
Lack of qualified candidates
Employee accommodations (work/life, medical)
N/A
Other / Comments
4. What were/are some of the unanticipated costs to your organization due to the COVID-19 pandemic?
*
New technology platform (online, mobile ordering)
Difficulty accessing government resources (PPP)
Reconfiguration of organization (barriers, social distancing compliance)
Increased cost for supplies
Supply chain disruption
N/A
Other / Comments
5. May we contact you in response to this survey?
*
Yes
No
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