Mid-Valley Small Business Impact-Salem Chamber
RequiredRequired Question(s)
 Please take a few minutes and complete the survey below. We respect your privacy and guarantee all responses will be confidential, but answering each question is critical to building a well rounded understanding of the local impact on businesses. 
 
Required 1.

Business Name

 

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Required 2.

Impact (i.e., closure, temporary, additional concerns)

 

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Required 3.

Estimated Dollar Impact

 

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4.

Number of Employees affected

 

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Required 5.

Your name & role

 

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Required 6.

Contact Email

 

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Required 7.

Phone number

 

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