Small Business COVID-19 Feedback
This survey intends to collect feedback from Wayne County, MI small businesses to assess impact of COVID-19 crisis and identify support systems to lessen the burden. E-mails collected via this form will receive e-mail notifications as resources become available.

Name of Business *
Business Address *
Business City or Community *
Business Owner Name *
Business Owner Phone *
Business Owner E-Mail
How many full time employees does the business have? (number only; biz owner included) *
How many part time employees does the business have? (number only) *
Are you staying open through Covid-19 crisis? *
Have you seen a change in sales since Covid-19 outbreak? *
What is your greatest challenge in continuing to operate under Covid-19 crisis? *
What safeguards and support are you implementing for your employees? *
How much financial assistance would you require to put your business and employees through 2 weeks of state of emergency conditions? *
Other feedback
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