COVID-19 Business Survey
1.

With which industry does your company most strongly affiliate?

Manufacturing
Professional Services
Health Care
Energy
Retail
Education / Government
Non-Profit
Distribution / Logistics
Other  
2.

On a scale from 1 - 10, how has the coronavirus affected your business?  1 being 'not affected', 10 being 'horribly affected'.  

 Not Affected         Horribly Affected 
On a scale from 1 - 10, how has the coronavirus affected your business? 1 being 'not affected', 10 being 'horribly affected'.
3.

Do you believe that by following the CDC guidelines your business could adapt and stay open as we see more and more pressure to close and halt business operations? 

yes
no
  • Comment:

  • 500 characters left.
4.

Have you halted or restricted travel for your employees?

yes
no
  • Comment:

  • 500 characters left.
5.

Have you enabled employees to work from home when possible?  

yes
no
  • Comment:

  • 500 characters left.
6.
If you are unable to let employees work from home, what measures have you taken to ensure their safety? 
 

350 characters left.
7.

Are you able to provide paid leave for your employees? 

yes
no
  • Comment:

  • 500 characters left.
8.

Have you eliminated some costs in your business to adapt to the coronavirus?

yes
no
  • Comment:

  • 500 characters left.
9.

Have you had to lay off any employees, temporarily suspend pay, or implement salary reductions? 

yes
no
  • Comment:

  • 500 characters left.
10.

How are you keeping your employees informed about changing policies? 

 

350 characters left.
11.

What is your biggest worry if the mandated closures last for several weeks?

 

350 characters left.
12.

What regulations or government restrictions limit your ability to serve Hoosiers during this health crisis? 

 

350 characters left.
13.

What services/resources does your business need to adapt to this health crisis?

 

350 characters left.
14.

How else have you adapted your business or business model to adapt to the coronavirus?

 

350 characters left.
15.

How can the Chamber help you and your business through this pandemic? 

 

1000 characters left.
16.
Contact information:

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