COVID-19 Business Impact Survey
Dear ICMAD Members and Industry Friends:

This is an urgent request. We find ourselves in the midst of the most challenging of situations.   Therefore, we are developing information to take to our elected officials in both Washington and the States.
Below you will find a short survey that we need you to complete. PLEASE!!!
The data we collect will help us make the point to our political representatives as to the potential dire straits in which this industry finds itself. We understand that some of the questions may be difficult to contemplate or answer. Still we hope that you can move forward and complete the survey so we can develop an accurate representation of our current situation.
Please note that all responses are confidential, and that one important use of the data will be to educate congress on the needs of our industry.  
All information will be presented in a consolidated form and not associated with any one company or person.
If you have any questions or comments, please don't hesitate to contact me at:
Many thanks in advance!

Ken Marenus, Ph.D.
***All responses are ANONYMOUS***
In which state is your business located?  (This question is not mandatory, however it will help provide accurate data to state governments about our industry in a particular jurisdiction)


What is the approximate size of your business in terms of annual sales?

$500,000 - $999,999
$1 M - $4,999,999
$5 M - $9,999,999
$10 M - <$25 M
$25 M - <$100 M
$100 M - <$250 M
>$250 M

How much has your revenue decreased since March 1?

0%: No revenue decrease
1-10% decrease
11-20% decrease
21-30% decrease
31-50% decrease
51-75% decrease
>75% decrease
  • Comment:

  • 500 characters left.

How much have your costs from the supply chain increased since March 1?

0%: No increased supply chain costs
1-10% increase
11-20% increase
21-30% increase
31-50% increase
51-75% increase
>75% increase
  • Comment:

  • 500 characters left.

What percentage of your customers/clients have outstanding payments due to you?

0%: No outstanding payments due to my business
1-10% of customers/clients
11-20% of customers/clients
21-30% of customers/clients
31-50% of customers/clients
51-75% of customers/clients
>75% of customers/clients
  • Comment:

  • 500 characters left.

Are your creditors giving you less credit and/or shortening payment periods?

  • Comment:

  • 500 characters left.

How much longer can your business survive with the current cash on hand?  

1 month or less
2 months
3 months
4-6 months
7-12 months
>12 months
  • Comment:

  • 500 characters left.
How many employees did you have as of January 1, 2020?

50 characters left.

How many employees have you let go or furloughed as a result of the COVID-19 pandemic?


350 characters left.

How many additional employees will you have to let go or furlough if economic conditions do not improve within the next 60 days?


350 characters left.

Have you applied for any Federal, State or local support to help sustain your business? If so, please specify which program(s), such as SBA's Paycheck Protection Program or Economic Industry Disaster Loan.

  • Comment:

  • 500 characters left.