Local Small Business Relief Survey
RequiredRequired Question(s)
Progress: 
 
Small, independent businesses are some of the most hardworking and creative people we know - and we want to hear from you. As we all navigate the implications of COVID19, personally and as a community, The Prescott Chamber wants to make sure we are doing all we can to share the right information to carry us forward.

Tell us what you are doing to help get your products or services safely to your customers. Perhaps you are offering: delivery services, gift card sale specials, virtual tours.

Tell us what information is lacking and would better help you prepare for the weeks ahead.
 
Required 1.

What is your Business Name? 

 

50 characters left.
Required 2.

What is your First and Last Name? 

 

50 characters left.
Required 3.

Your email 

 

50 characters left.
4.

Please provide your website address.

 

50 characters left.
5.

Is your business interested in providing services to the community, such as money donations, food, toiletries, etc? 

Yes
No
6.

Do you have current specials you want us to help promote? 

 

350 characters left.
Required 7.

Which of the following services is your business now offering? 

Gift Cards available for purchase online
Delivery
Online Shopping
To-go Orders
Curb-side delivery
Virtual shopping
Virtual performances or art shows
Virtual services/consulting
Other
  • Comment:

  • 500 characters left.
8.

Is your business going to close for an amount of time? If so, provide how long.

 

50 characters left.
9.

Are your service hours going to change? If so, provide below.

 

50 characters left.
Required 10.

Have you limited your employee count or occupancy standards to 10 people or less?  

Yes
No
Required 11.

What chamber do you belong to? 

Prescott
Prescott Valley
Chino Valley
Sedona
Jerome
Cottonwood
Required 12.

Is your business providing pay to your associates for a prolonged period of time?

Yes
No
13.

If you marked yes to the last question, how many weeks are you providing pay for?

 

50 characters left.
14.

Are you or any of your employees facing an emotional crisis? 

Yes
No
15.

Please provide a brief description of what the Prescott Chamber can do to help your business right now. 

 

350 characters left.
16.

Would you be willing to share your story/ongoing deals with the media? 

Yes
No
17.

Is there anything else you'd like us to know? 

 

350 characters left.