Local Essential Businesses Service Questionnaire
For essential businesses offering remote ordering, curbside pickup, and/or delivery. We'll arrange your information into a Google Doc. We'll make it available for customers to see and to folks who are sharing this information on other platforms.
Email address *
Business Name *
Your answer
Address *
Your answer
Type of Business *
Please choose as many categories as fits your business. If you offer something that isn't included in this list, please click 'other' and add the category.
Required
How People Can Purchase from You *
Please choose as many as are appropriate.
Required
Payment Methods *
Please note: if you can, we highly suggest using credit cards, either over the phone or via a secure website, so no cash or checks need to change hands.
Required
Best Ways for Customers to Contact You *
Your preferred way(s) for people to place orders.
Website
Your answer
Facebook Page
Your answer
Phone Number
Your answer
Your Business Hours
If people need to order and/or pick up during regular business hours, please note them here.
Your answer
Ordering Requirements
Do people need to order at a specific time? In advance? In minimum quantities?
Your answer
Delivery Options
If you are offering delivery, please share if you have regular delivery schedules, specific delivery locations, delivery zones, drop-offs, etc. Also please note any delivery charges.
Your answer
Special Offerings
Is there anything in particular you want people to know that you offer?
Your answer
Submit
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