COVID-19 Impact on Business Survey
RequiredRequired Question(s)
The Fruita Area Chamber of Commerce wants to understand how your business and daily operations has been impacted by COVID-19 in order to best understand your needs at this time. Please answer each question and provide comments when appropriate. You are not required to provide personal information in this survey. If you would like to reach out to staff at this time, please email info@fruitachamber.org. 
 
1.
Please enter the information indicated below.

By entering my personal information, I consent to receive email communications from the survey author's organization based on the information collected.

First Name:
Last Name:
Company Name:
Work Phone:
Email Address:
emailaddress@xyz.com
Address 1:
Address 2:
City:
State/Province
(US/Canada):
Postal Code:

Required 2.

Please select the business classification that best fits your organization. 

*Optional: Please identify your business in the comment section. 

Individual/Sole Proprietor
Non-profit Organization
Small Business (19 or fewer employees)
Small Business (20 or more employees)
Corporation
Other  
  • Comment:

  • 500 characters left.
Required 3.

Where is your business located? 

Fruita
Mack/Loma
Grand Junction
Palisade
Multiple Locations - Please specify
Other  
  • Comment:

  • 500 characters left.
Required 4.

What industry do you classify your business as? 

 

50 characters left.
5.
Are you a current member of the Fruita Area Chamber of Commerce
Yes - NEW MEMBER
Yes - RENEWING MEMBER
No - PAST MEMBER
No - I have never been a member of the Fruita Area Chamber
Unsure
  • Comment:

  • 500 characters left.
Required 6.
Has your business been impacted in some form by COVID-19?
Yes
No
Unsure
  • Comment:

  • 500 characters left.
Required 7.

If your business has been impacted, please select all that apply:

Supply chain disruptions
Significant increase in consumer demand for certain items
Decrease in consumer demand
Event cancellations/ order cancellations
Workforce impacts
Adjusting work schedules and locations
Financial distress
Other  
  • Comment:

  • 500 characters left.
Required 8.

What measures is your business taking to address concerns regarding public health? 

Nothing - business as usual
Encouraging hand washing and sanitary habits
Updating sick leave policy / Encouraging sick employees to stay home
Placing restrictions on meetings and travel
Reducing employee hours
Closing the facility
Cancelling events
Other  
  • Comment:

  • 500 characters left.
Required 9.

The Fruita Area Chamber of Commerce is collaborating with local organizations to provide the business community with resources and information at this time. How can we best help your business navigate this situation? 

Providing updates on the public health in Mesa County
Providing a virtual toolbox with business resources and information
Providing workforce information and resources
Connect me with a mentor or specific resources - please specify
Nothing - I do not need assistance at this time
Other  
  • Comment:

  • 500 characters left.
10.

Are there any additional resources or information you've come across that would be beneficial to share? 

 

350 characters left.