Name of Business *

Contact Person *

Email *

Phone Number *

Are you currently conducting business? *

If so, how have you modified your business model?

Are you happy with the results?

How are you reaching your current and potential customers? *

Do you have e-commerce capabilities? *

Are people booking future appointments? *

Since the onset of the pandemic, have you noticed ... *

Do you have a gift card program? *

If you have a gift card program, how are you promoting it?

Are you utilizing social media? *

If yes, what platforms work best for your business?

Are you offering special incentives? *

If you are offering special incentives, please describe.

How has your use of technology changed? *

Have you used Zoom conferencing? *

Would you like assistance in setting Zoom up?

What challenges have you overcome that are unique to your industry?

Have you decreased your staff capacity? *

If yes, how many employees have you laid off or furloughed, and do you plan on bringing them back?

Have you applied for the Paycheck Protection Program? *

Would you like additional information regarding Federal assistance programs? *

Thank you for your input! Before we wrap up, please tell us how we can help you during this uncertain time. *