COVID-19 Economic Impact Survey
RequiredRequired Question(s)
This survey is to help assess the economic impact of the COVID-19 pandemic on businesses and organizations in Ozark and neighboring communities. Data collected from this survey will assist the Ozark Chamber, the Show Me Christian County economic development organization, and the Missouri Department of Economic Development in determining the most pressing needs and areas of impact in our local economy.
 
Required 1.
Your contact information is requested for the sole purpose of allowing us to respond with the information and resources you indicate. We will not sell your information or add you to mass mailing lists. 

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

Required 2.
Which industry best represents your business or organization?
Banking
Insurance
Retail sales (not including food or beverage)
Dining / catering / food production or sales
Real estate
Construction
Childcare
Independent contractor
Office / administrative / business support
Healthcare
Charitable nonprofit
Manufacturing
Other  
Required 3.
Has your business experienced any losses due to COVID-19?
YES
NO
4.
If YES, please select the losses your business or organization is experiencing due to COVID-19.
Supply chain disruption
Slow sales / no sales
Employee absenteeism
Other  
  • Comment:

  • 500 characters left.
5.
What steps have you taken or operational changes have you made in response to the pandemic? (Select all that apply)
Continuing operations with business facilities closed to the public
Modified product / service offered
Special offers for customers / community
Employees working remotely
Employees furloughed or laid off (please indicate number of employees in the comment box below)
Seeking new buyers
Seeking new vendors
Business closed / operations ceased temporarily
Changes in delivery of goods/services (curbside pickup, remote appointments, etc.)
Hours reduced / shifts consolidated
Other  
  • Comment:

  • 500 characters left.
6.
How concerned are you about financial impacts to your business over the next 30 days to six months?
 Very concerned Somewhat concerned A little concerned Not concerned  
Next 30 days  
Three months  
Six months  
  • Comment:

  • 500 characters left.
7.
How concerned are you that your business or organization may close permanently in the next six months?
Very concerned - this is a possibility for my business in the near future
Somewhat concerned - this is not immediately likely but may become possible if conditions continue
Not concerned - this is not a likely outcome for my business
8.
What is the likelihood of layoffs or furlough within your business in the next 30 days?
Inevitable - We have already laid off / furloughed employees OR are actively moving forward in the layoff / furlough process
Possible - We have not begun actively laying off or furloughing employees, but it is a possibility in the immediate future
Not likely - We will be able to get through the next 30 days without layoffs or furlough
Other  
9.
What was your annual gross business revenue last year? (Select a range)
Less than $100K
$100K - $299K
$300K - $499K
$500K - $999K
$1M - $2.9M
$3M - 4.9M
$5M - $9.9M
$10M+
10.
Please estimate any revenue decline you have experienced since February 15, 2020  as a result of COVID-19 if applicable. (Select a range)
0%
Less than 10%
10 - 20%
21 - 30%
31 - 40%
41 - 50%
51 - 60%
61 - 70%
71 - 80%
81 - 90%
91 - 100%
  • Comment:

  • 500 characters left.
11.
How many full-time employees do you have?
0-5
6-10
11-20
21-50
51-99
100+
12.
How many part-time employees do you have?
0-5
6-10
11-20
21-50
51-99
100+
13.
Which information and assistance would be helpful to your business right now? (Select all that apply)
FINANCIAL - Information about financing options for businesses and nonprofits
LEGAL - Information about passed and pending legislation to address COVID-19
EMPLOYMENT - Alternatives to unemployment, recruiting, layoffs / furloughs, sick leave, etc.
HEALTH - Reducing health risks, what to do if you or an employee tests positive for COVID-19
Other  
14.
If you have received any financial assistance to mitigate the impact of COVID-19, where have those funds come from?
 

350 characters left.
15.

What would make the most immediate positive impact for your business right now?

 

350 characters left.