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Business Assessment

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Please correct the field(s) marked in red below:

1
Business Name and Location 
 *
2
Contact's Name
3
Contact's Phone Number
4
Contact's Email
 *
5

Which category best describes your industry/sector? Please select one

Which category best describes your industry/sector? Please select one
6
Are you a Home-Based Business?
Are you a Home-Based Business?
7

Please estimate any change (or anticipated changes) in revenue your business has experienced as a result of COVID-19:

Please estimate any change (or anticipated changes) in revenue your business has experienced as a result of COVID-19:
8

If the current business climate were to continue, how long would it take for your business to see significant negative impacts, such as layoffs or temporary or permanent closure?

If the current business climate were to continue, how long would it take for your business to see significant negative impacts, such as layoffs or temporary or permanent closure?
9

Has the situation around COVID-19 caused your business to adjust personnel/hiring decisions? Select all that apply.

Has the situation around COVID-19 caused your business to adjust personnel/hiring decisions? Select all that apply.
10

Are you interested in applying for or learning more about the U.S. Small Business Administration's Economic Injury Disaster Loans, which offer up to $2 million in assistance for a small business? These loans can provide vital economic support to small businesses to help overcome the temporary loss of revenue they are experiencing.

CLICK HERE

Are you interested in applying for or learning more about the U.S. Small Business Administration's Economic Injury Disaster Loans, which offer up to $2 million in assistance for a small business? These loans can provide vital economic support to small businesses to help overcome the temporary loss of revenue they are experiencing. CLICK HERE
Are you interested in the Paycheck Protection Program? Paycheck Protection Program Overview Paycheck Protection Program Fact Sheet Paycheck Protection Program Application
12

Which of the follow resources would you be interested in to assist your business during the COVID-19 response? Select all that apply

Which of the follow resources would you be interested in to assist your business during the COVID-19 response? Select all that apply
13

Please add any other comments about disruptions, challenges, or changes in your business due to the Coronavirus (COVID-19):

 *
14
Is there anything the City of North Port can do to help your Business?
Is there anything the City of North Port can do to help your Business?
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