Chamber Day COVID-19 Survey
RequiredRequired Question(s)
Required 1.
Please enter the information indicated below.

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

Required 2.

Select your industry.

Arts & Culture (Museums)
Constructions (Concrete, Roofer, Electrician, Builder, etc.)
Education
Energy (Petroleum Exploration, Fracking, etc.)
Financial Services (Banks, Brokerages)
Government
Healthcare & Wellness
Human/Social Services
Information Technology (Computers, etc.)
Manufacturing
Real Estate Development
Real Estate Development - Management
Restaurant/Food & Beverage
Retail (Clothing Store, Gas Station, Wal-Mart, etc.)
Services - Other (Includes hair salons, spas, and personal care services)
Services, Professional (Attorney, Accountant)
Tourism, Hospitality & Recreation (Hotel, Entertainment)
Wholesalers
Other  
Required 3.

How many full and part time employees did you have working in your organization in the Brazos Valley as of March 15, 2020?

Single employee
2-10
11-50
51-100
101-250
251-500
more than 500
Required 4.

Have you been forced to lay-off any employees as a result of COVID-19? If so, how many?

Yes
No
  • Comment:

  • 500 characters left.
Required 5.
What has been the immediate impact of COVID-19-related issues on your business? Select all that apply.
Financial hardship
Cancellation of events/gatherings
Employee(s) with school-aged children
Lack of childcare due to COVID-19
Voluntary/involuntary work-from-home implemented
Impacts to travel
Other  
Required 6.
How do you currently feel about your organization's ability to overcome the economic consequences of COVID-19?  Select the answer that most closely aligns with your feeling.
Confident - our organization has a solid plan in place
Tentative - while our organization has a plan, long-term disruption could be problematic
Worried - our organization is working through it, but don't have the written policies/plans for much of what is occurring
Under duress - Our organization needs assistance and support
Other  
Required 7.

What internal changes have you made to employee policies, business processes, etc. to manage through these times? Select all that apply.  In the comment section, please tell us which policies or processes you have changed and how you have changed them.

Practicing social distancing
Cancelled meetings/gatherings or moved them virtually
Employees are working from home on current/new work
Used or established special policies/procedures
Staggering shifts
Establishing 'core employees only' report policy
Other  
  • Comment:

  • 500 characters left.
Required 8.
How are you changing your business or marketing strategies to strengthen your business in anticipation of a downturn? Select all that apply.
Changing or enhancing product lines
Slowing or halting production
Expanding marketing/necessary product
Supply issues are preventing us from being able to serve customers
Mandated closures are preventing us from being able to serve customers
Other  
Required 9.

Currently, what are your biggest concerns about COVID-19? Select all that apply.

Public health overall
The impact on our medical and healthcare professionals and systems
The mental health impact on our employees and community
The impact on local and small businesses
The impact on the market
The impact on my organization's bottom line
The long-term impact on the United States economy
The long-term impact on our global economy
Other  
Required 10.

How long do you expect the impact on your business to last?

1-3 months
4-6 months
6-12 months
More than 12 months
Not able to determine at this time
Required 11.
What is the most relevant national/state/local government relief for your business?
Payroll tax cut
Expanding and/or streamlining SBA loans
Other  
Required 12.

At what level would you estimate your business's financial loss due to COVID-19?

$0 - $5,000
$5,001 - $25,000
$25,001 - $100,000
$100,000 - $500,000
Greater than $500,000
Other  
13.

What is your organization's biggest need right now? What resources would be helpful?

 

350 characters left.
14.

Is there anything else you would like to share about the current situation in regards to business?

 

350 characters left.