*SCAC COVID-19 SMALL BUSINESS SURVEY*
RequiredRequired Question(s)
*IMPORTANT*
This survey is for ALL small businesses, including a chamber of commerce. If you are a President or Executive Director of a chamber of commerce, please forward the survey link to all of your chamber members as well as completing the survey to reflect the needs of your chamber of commerce as it's own small business. Results of your respective chamber of commerce will be forwarded to you. Full participation from all of your members is important in order to provide accurate data to the various levels of government and business sectors to address the COVID-19 issues and concerns. 

We thank you in advance for your time and cooperation!

 
Dear Members of the Suffolk County Alliance of Chambers,

Thank you for attending our weekly SCAC COVID-19 conference calls. We have been including representatives from the SBDC, SBA, federal, state and county governments to address your business concerns.

In order for the SCAC to continue providing critical information to our members, we are requesting feedback on the COVID-19 impacts to your chamber of commerce and individual small businesses. Our goal is to clearly understand your major concerns and suggestions in order to provide the necessary support during this pandemic.  

Your immediate attention to this email is greatly appreciated. Please take 2 minutes of your time to complete the survey.  

The Suffolk County Alliance of Chambers continues to serve as a value-added asset to the chambers of commerce in Suffolk County.

Yours in Success,

The Suffolk County Alliance of Chambers, Inc.
"We Mean Business"
 
Required 1.
Which chamber of commerce are you a member of? (Please reply "none" if not a member of a chamber or list all that apply)
 

350 characters left.
2.
Is your business considered an essential business? 
Yes
No
3.
Are you the owner, operator or employee of the business? 
Owner
Operator
Both Owner & Operator
Employee
Required 4.

What industry type is the business? You may provide more details in the comment section if necessary. 

Agriculture, Foresty & Fishing
Construction
Eating & Drinking (Restaurants, Deli's & Bars)
Finance, Investments, Insurance
Healthcare
Hospitality/Tourism
Manufacturing
Non-Profit (Chamber of Commerce or Other)
Real Estate
Retail
Service Industries
Transportation
Utilities: Electric/Gas
Wholesaler
Other
  • Comment:

  • 500 characters left.
5.

How many total employees/independent contractors did you have prior to COVID-19?

Under 9 (Micro)
10-49 (Small)
50-249 (Medium)
250-500(Large)
  • Comment:

  • 500 characters left.
6.

How many total employees/independent contractors did you have after COVID-19 ? 

Under 9 (Micro)
10-49 (Small)
50-249 (Medium)
250-500(Large)
Same
Required 7.

What type of business designation are you? 

Sole Proprietor OR Independent Contractor
Sub-Chapter S
Sub-Chapter C
Corporation (Inc., LLC, PLLC or other)
Non-Profit (Please explain below - Type 501 C - 3,4,5,6)
Other
  • Comment:

  • 500 characters left.
Required 8.
Did you apply for any funding? 
Employee Injury Disaster Loan (EIDL)
Paycheck Protection Program (PPP)
Both
I have not applied
I plan to apply in the future
I do not qualify
  • Comment:

  • 500 characters left.
Required 9.
Please specify the type of confirmation received after applying.  Please enter the application date in the box below. 
Email
Phone
Both
None
Not Applicable - I have not applied
  • Comment:

  • 500 characters left.
Required 10.
Have you been awarded funding? 
EIDL
PPP
Both EIDL & PPP
Other Loans/Grants/Funding (Please specify below)
I have not yet received any funding at all
Not Applicable - I have not applied
  • Comment:

  • 500 characters left.
Required 11.

Are you in need of any Personal Protection Equipment (PPE)? 

Sanitizer
Gloves
Masks
All of the above
None of the above
Gloves & Masks
Sanitizer & Gloves
Sanitizer & Masks
Other  
  • Comment:

  • 500 characters left.
12.
What governmental service, public or private sector do you think should be re-opened and why?
 

1000 characters left.
13.
What relief would you like to see from Suffolk County, New York State and/or the Federal Government to address your needs? (Please be specific)
 

1000 characters left.
Required 14.
The SCAC is working on a partnership program with Suffolk County and SUNY Stony Brook's Business & Technology Departments. We will perform an assessment to identify what IT/Technology support is needed for your small business. Please tell us which technical support is NEEDED to help your business navigate through this crisis & into the future that you currently do NOT have? (Please explain in detail below)  
Website
Point of Sale System (for online orders)
Social Media (Facebook, Instagram, and/or Twitter)
Telecommunication Platform (ie: Zoom or other)
Delivery Service
Other (please specify below)
None of the above is needed
  • Comment:

  • 500 characters left.
15.
What issues or concerns would you like us to address and/or survey? Please elaborate.
 

1000 characters left.
16.
Please enter the information indicated below.

By entering my personal information, I consent to receive email communications from the survey author's organization based on the information collected.

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

We look forward to hearing your feedback & appreciate you taking the time to complete the survey.  Our goal is to help serve you better...we will get through this together!!

Stay safe, stay healthy & stay in touch!

Click "Finish" at the bottom of this page to submit your survey.

Yours in Success,

Suffolk County Alliance of Chambers, Inc.
"We Mean Business"

*If you would like to help another small business by including them in the survey, please copy this link and forward it after clicking "Finish" below.  http://survey.constantcontact.com/survey/a07eh1vuo6gk9bh2dd5/start