New Paltz Small Business Support Survey
Survey of local small businesses during the COVID-19 pandemic. WILL ALSO BE USED TO CREATE A DIRECTORY FOR THE PUBLIC TO SUPPORT YOU.

CDC guidelines: https://www.cdc.gov/coronavirus/2019-ncov/community/index.html
Email address *
Phone number
Your answer
(FOR PUBLIC) Business Name *
Your answer
(FOR PUBLIC) Physical Address
Your answer
(FOR PUBLIC) Email
Your answer
(FOR PUBLIC) Website (write "no website if you don't have one) *
Your answer
(FOR PUBLIC) Phone number
Your answer
(FOR PUBLIC) Hours of Operation *
Your answer
Other link (if you want two listed)
Your answer
(FOR PUBLIC) How can the public support your business while practicing social distancing? *
Required
(FOR PUBLIC) If you like, provide a further explanation of your offerings.
Your answer
(FOR PUBLIC) What procedures are you implementing to ensure safety/cleanliness?
Your answer
To date, to what extent is COVID-19 impacting the financial health of your business or organization?
To date, to what extent is COVID-19 impacting your business or organization staffing and/or hours of operation?
Please describe how COVID-19 is impacting your business.
Your answer
Please let us know how New Paltz can support you at this time.
Your answer
Any thing else we should note for the pubic?
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy