Small Business Coalition - Business Impact Survey
RequiredRequired Question(s)
The Small Business Coalition is a working group of state, regional, and local organizations and leaders collaborating to support the business ecosystem in the Merrimack Valley and beyond. As the Coronavirus continues to unfold, our ability to maintain a strong feedback loop with businesses as we develop responses is vital to making sure resources are well aligned with needs. 
 
Please take 5 minutes to help us better understand the needs as you are experiencing them and ideas for coordinated solution making that could be helpful.  Also, please feel free to share this survey with others in your network as we gather as much information as possible. 
 
1.

Business or Company Name
 

50 characters left.
Required 2.

Has your business been impacted by the Coronavirus outbreak? If yes, please describe.
Yes
No
  • Comment:

  • 500 characters left.
Required 3.
Can you measure the percentage of impact on likely sales over next 3 months? Please provide the percentage below.
 

50 characters left.
Required 4.
Can you measure the percentage of impact on likely expenses /incurred costs over next 3 months? Please provide the percentage below.
 

50 characters left.
Required 5.

How do you anticipate this will impact your business in the next 6 months?
No Impact
Somewhat Impacted
Extreme Impact
Business will be doing better
Required 6.

What resources are you currently using to navigate the impact of the outbreak?
 

50 characters left.
Required 7.

What type of assistance do you anticipate you'll need to manage effects of the Coronavirus outbreak?
Financing / Financial Loans
Operational
Insurance
Communications / Marketing
Business Continuity / Disaster Planning
Human Resources
Peer Support / Networkings
Other  
8.

Are there other types of resources or strategies you'd recommend are offered at the state or local level?
 

350 characters left.
Required 9.
What city is your business located in?
Andover
Haverhill
North Andover
Lawrence
Lowell
Methuen
Other  
Required 10.
Industry
Attractions / Amusements
Bank / Credit Union
Construction
Farming / Agriculture
Health Services
Insurance
Lodging
Manufacturing
Media
Professional Services
Real Estate
Retail
Restaurant
Transportation
Technology
Other  
Required 11.

How many employees do you have? Estimates are acceptable.
0-1
1-4
5-10
11-24
25-49
50-99
100-500
Other  
Required 12.
What percentage of your employees will not be covered by unemployment insurance?
 

50 characters left.
Required 13.
What is your average annual business revenue?
 

50 characters left.