City of South San Francisco COVID-19 Business Impact Data Survey
RequiredRequired Question(s)
Required 1.
The COVID-19 pandemic has resulted in an immediate shock to the economy, and we recognize this has impacted South San Francisco's business community.  An important step in gauging impact is to set a baseline.  To that end, please take a few minutes to complete the following survey to help document impacts and inform mitigation and recovery programming.

Stay connected with up-to-date business resources on the City's website dedicated for Business Recovery.

First Name:
Last Name:
Company Name:
Work Phone:
Email Address:
emailaddress@xyz.com

Required 2.

What industry sector are you in?

Retail
Restaurant / Hospitality / Arts
Professional Services
Manufacturing/Food & Beverage Production
Healthcare
Trade/Logistics
Tech
Biotech
Other  
  • Comment:

  • 500 characters left.
3.

Do you have business interruption insurance?

Yes
No
  • Comment:

  • 500 characters left.
4.

Did you see a year-over-year decline in gross receipts in February?  If yes, by what percentage?

Yes
No
  • Comment:

  • 500 characters left.
5.

Are you experiencing a year-over-year decline in gross receipts in March?

Yes
No
  • Comment:

  • 500 characters left.
6.

As of March 1, 2020, how many full-time employees did you have?

 

50 characters left.
7.

As of March 1, 2020, how many part-time employees did you have?

 

50 characters left.
8.
Have you eliminated any positions since March 1, 2020?
Yes
No
  • Comment:

  • 500 characters left.
9.

Have you had to reduce the hours worked by your full-time staff in the last few weeks?

Yes
No
  • Comment:

  • 500 characters left.
10.

How concerned are you that you may have to close your business due to COVID-19 impacts? 

Not concerned
Somewhat concerned
Very concerned
  • Comment:

  • 500 characters left.
11.

Would you like one of our staff members to contact you for referrals to business support services?

Yes
No
  • Comment:

  • 500 characters left.
12.

What support would be most helpful for your business in the near-term?


(1 = Least)
 
Low-interest Loans
Technical Assistance
Co-op Marketing
Workshops on how to market my business
Workshops on how to cut costs/increase efficiency
Resources for employees
  • Comment:

  • 500 characters left.