COVID-19 Business Survey

Organization Information

Business or Organization Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Contact Information

Title

First

Last

Suffix

Contact Email Address

Contact Phone Number

Feedback

What suggestions do you have for the Board of County Commissioners to consider regarding re-opening your business or industry while maintaining social distancing and/or other COVID-19 precautions? Please be specific.

Is your business partially open now?

No

Yes

If yes, what percentage are you open?

Do you have any unique features that makes your business different from other similar businesses that are currently closed?

Does your business have any upcoming events or deadlines that we should know about?

What percentage of capacity can you re-open while maintaining social distancing and/or other COVID-19 precautions?

What systems and procedures would you put in place in order to protect employees and the public?

If you are currently open, what systems and procedures do you currently have in place to protect employees and the public?

What systems and procedures would you put in place if the public violates any of the restrictions at your business?

Have you applied for any COVID19 relief funds from the government or other entity?

No

Yes

If yes, are there limitations as to what those funds can be used for?

Do you have enough supplies, such as gloves, masks, hand-sanitizer or other personal protective equipment (PPE) to safely re-open?

Yes

No

Other…