Business Impact COVID-19 Survey
This survey is a joint effort between the City of Texarkana, Texas, Bowie County, and the Texarkana Chamber of Commerce. It will help measure the economic impact to our region as it relates to COVID-19 (Coronavirus). We are seeking to gauge the economic impact for all of Bowie County, Texas. Please fill out a survey for each separate business, partnership or LLC you own/manage, and ensure that only one response is submitted from each organization. Thank you for your help!
Email address *
1. Which of the following best describes your organization's primary industry? *
Clear selection
What is the current operating status of your business?
Clear selection
What was your total FULL-TIME employee count prior to COVID-19?
What is your current total FULL-TIME employee count currently?
What was your total PART-TIME employee count prior to COVID-19?
What is your total PART-TIME employee count currently?
Has your employee count changed due to COVID-19 specifically?
Clear selection
How many employees have you had to lay-off due to COVID-19?
If employees are temporarily not reporting for work, what percentage will be paid and unpaid during the work hiatus?
Has your company's weekly revenue experienced an increase or decrease as a result of COVID-19?
Clear selection
How many weeks of a business shutdown would you estimate your business can survive before closing?
Please provide an estimated dollar amount of financial loss to your business due to COVID-19:
Have you contacted your bank about a bridge loan or other financing?
Clear selection
Have you applied for an US Small Business Administration Economic Injury Disaster Loan?
Clear selection
Have you applied for the Payroll Protection Program?
Clear selection
As a result of the Payroll Protection Program Grant, how many employees have been rehired?
How can we support your business as we navigate this global challenge?
If you're inclined, please provide a short narrative about how COVID-19 has positively or negatively impacted your business.
Any other information you'd like to provide:
Name:
Business:
Optional Contact Info (Email or Phone Number):
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Queen City ISD. Report Abuse