North Florida Minority Owned Business-Needs Assessment Survey
We are interested in understanding how COVID-19 has affected the local minority business community and their allies, their immediate needs for future growth, and needs for long-term sustainability during and after the pandemic. For more information, please visit https://fb.me/dreamweekjax 


Email *
Date *
MM
/
DD
/
YYYY
Are you a minority owned business? *
Do you own 51% or more of the business? *
Please choose your gender preference. *
In what county is your business located? *
Name of Your Business *
Business Owner Name & Title *
Business Partner Name or Alternate Contact
Start Up Date or Years in Business *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy