COVID-19 Business Impact Survey 1
RequiredRequired Question(s)

Thank you for responding. Our goal is to measure COVID-19's impact on our business community and provide our legislative bodies with a quantitative assessment.

Data will be used in aggregate / not individually. We understand some questions may be difficult to answer. Please provide as accurate of an answer as possible / guesstimate is acceptable. 

Over time, we will distribute this survey again to try and capture the progressive impact of this crisis. The deadline to complete this survey is Friday, April 17. Thank you for your time and effort.
 
Required 1.

Which industry is your business in?

Hospitality
Food Services
Agriculture
Construction
Professional Services
Transportation
Healthcare
Education
Entertainment / Arts / Recreation
Retail
Manufacturing
Financial Services
Other  
Required 2.

Which community is your business located in?

Argyle
Fort Worth
Haslet
Justin
Keller
Northlake
Roanoke
Southlake
Trophy Club
Westlake
Other  
Required 3.

How many full and part-time employees do you have?

Less than 20
21 - 50
51 - 100
100+
4.

How have your company's operations been impacted by COVID-19? Check all that apply.

Closed doors to the public and transitioned to telework / remote work for employees
Closed doors to the public and transitioned to teleservices for customers
Closed doors to the public and transitioned to pick-up or delivery services for customers
No change
Other  
5.

Have you changed employment status for your employees? 

Check all that apply.

Reduced hours
Reduced wages
Furloughed employees
Let go employees
No change to employees
Other  
6.

What percentage of your team has been affected by reduced hours, reduced wages or change in employment status?

0%
1 - 25%
26 - 50%
51 - 75%
76 - 99%
100%
7.

How much has your revenue been impacted by COVID-19?

0%
1 - 25%
26 - 50%
51 - 75%
76 - 99%
100%
8.

How much has your business been affected by school closures?

0%
1 - 25%
26 - 50%
51 - 75%
76 - 99%
100%
9.

How much has your business been affected by supply chain disruptions?

0%
1 - 25%
26 - 50%
51 - 75%
76 - 99%
100%
10.

How long can your business survive in this current economic environment?

Less than 3 months
3 to 6 months
6 months to 1 year
1 year+
11.

Do you anticipate seeking financial assistance due to the impact of COVID-19? Check all that apply.

Yes - Government assistance, ex: CARES Act, SBA Disaster Assistance Loan, Employee Tax Credit
Yes - Non-profit organizational assistance, ex: Seeking grant
Yes - Funding from financial lending institution
Yes - Crowdfunding
No
Other  
12.

Have you and / or your business provided assistance back to the community through financial or volunteer support during this crisis? If yes, how?

Yes
No
Plan to
  • Comment:

  • 500 characters left.
13.

Is there anything the Metroport Chamber or communities can do to help your business during this pandemic crisis?

 

350 characters left.
14.
Please advise of your contact information:

First Name:
Last Name:
Company Name:
Work Phone:
Email Address:
emailaddress@xyz.com
City: