COVID-19 Economic IMPACT Survey
THIS INFORMATION IS BEING USED BY OUR COUNTY AND STATE OFFICIALS.  THIS IS OUR VOICE FOR THE MOUNTAIN COMMUNITY BUSINESSES.
We need to know the good and the bad!
The Conifer, Evergreen and Platte Canyon Chamber of Commerce organizations are working together on an Economic Impact Task Force. This team is connecting our community with local, state and federal representatives, including Senator Tammy Story, Rep. Lisa Cutter, Daniel Nordberg with the SBA. We are using this data to keep our representatives informed to ensure quick and rapid response for assistance is available to our community.
This survey will be coming out every Monday until future notice, please fill out each week.
This survey only needs to be filled out 1x per week and not per chamber. All data collected goes to one location and is shared between chambers.
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Business Name *
Contact Name *
Email Address *
Business Zip Code (if home based, your home zip code) *
Best Phone Number? *
What industry are you in? *
Have you had to close due to the Stay-at-Home Order? *
Required
On a scale from 1-10 how financially stable do you consider your business at this time. *
I can't pay my bills next month.
I have enough working capital.
Have you applied for the Small Business Administration EIDL Loan?
Have you received funding from the EIDL? *
Required
Have you applied for the Payroll Protection Program? *
Required
Have you received funding from the PPP? *
Required
If yes, how much money have you received from the EIDL and/or the PPP? (Please list number only, no text.) *
How many PART-time employees do you currently have? *
How many FULL-time employees do you currently have? *
Have you reduced your workforce? *
And if so, how many? *
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