Survey : Questions

	Local Dining for Heroes Front Lining:

Thank you for your interest in participating in "Let's Send Local Dining to the Heroes Front Lining". Please let us know a little about your firm. Some important information:

Instructions for Restaurants:

Please let us know how much advance time you need to prepare an order?

As we bundle the purchases for your restaurant, it will be easier to have a set menu of meals and price points for bulk orders. With hopes of high demand, this will make for easier coordination purposes. We can assist as needed on this as well.

When preparing your package offerings, please note that it is best to deliver items in smaller packages for individual distribution to meet hospital rules. For example, if you are preparing a sandwich tray, you will need to break the sandwich tray down into individual-sized Ziplock bags.

If your restaurant is interested in participating, please send the form above filled out with the best person for us to reach out to. I can also assist in taking the information over the phone if that's easier.

Thank you and I look forward to working together with you through this.

Shannon Warner, MBA

Director of Marketing & Client Partnerships

ARH Associates

215 Bellevue Ave

Hammonton, NJ 08037

Office: 609-949-1755

1.	What is the Name of Your Establishment?
	50 characters left.

2.	What Type of Restaurant? (Italian, Coffee Shop, etc?)
	50 characters left.

3.	County You Are Located In?
	50 characters left.

4.	Town
	50 characters left.

5.	Street Address
	50 characters left.

6.	City
	50 characters left.

7.	State
	50 characters left.

8.	Zip
	50 characters left.

9.	Contact Name:
	50 characters left.

10.	Phone Number
	50 characters left.

11.	Email
	50 characters left.

12.	What is your specialty? Most famous product?
	50 characters left.

13.	Approx number of employees?
	50 characters left.

14.	Open Time
	50 characters left.

15.	Closing Time
	50 characters left.

	Days Open

16.	Time Needed to Prepare Orders of $100
	50 characters left.

17.	Tell your story: How has COVID-19 impacted your business and how are you trying to fight through.
	350 characters left.