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COVID-19 COMPANY IMPACT ASSESSMENT FORM
We are working on collecting information regarding how COVID-19 is affecting English Theatre Companies in Quebec. PLEASE FEEL FREE TO FILL OUT THIS FORM AGAIN SHOULD THE SITUATION CHANGE ON YOUR END E.G. IF YOU HAVE TO CANCEL ANOTHER SHOW. Please note that any personal data collected from this form will not be made public but information collected may be shared with granting agencies and governmental bodies.
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Name of Event/Production? *
Type of Event ( Individual Performance, Multiple Performances, Festival, Conference etc.) *
City the Event was meant to take place? *
Province and Country the Event was supposed to take place? *
Name of Producing/Presenting Organization/Company? *
You are a...(Producer, Director, Actor, Designer etc.) *
Date(s) of the Event *
MM
/
DD
/
YYYY
Has the Event been cancelled or postponed? *
Number of performances originally scheduled? *
What is your estimated attendance loss (in terms of patrons)? *
What is your estimated attendance loss (in terms of ticket sales)? *
What is your estimated financial loss (excluding ticket sales)? *
Link (URL) to the Event? *
Contact Person? *
Contact Person email?
Any other pertinent notes or issues related to COVID-19 to report?
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