Greater Medina Chamber of Commerce Survey
1.

Is your business currently open? 

YES
NO
2.

If your business is NOT currently open, do you feel your business will be ready to safely operate when the state authorizes your industry to reopen? 

YES
NO
  • Comment:

  • 500 characters left.
3.

In order to safely reopen, what does your business need? (ex: hand sanitizer, cleaning supplies, sneeze guards, etc.) 

 

350 characters left.
4.

Did your business apply for the Economic Injury Disaster Loan, the Paycheck Protection Program, or other aid or funding? 

EIDL
PPP
Both (EIDL and PPP)
Neither (EIDL and PPP)
Other
  • Comment:

  • 500 characters left.
5.

Did your business receive approval for funding? 

EIDL
PPP
Both (EIDL and PPP)
Neither (EIDL amd PPP)
Other
  • Comment:

  • 500 characters left.
6.

What information, resources, or assistance can the Chamber provide that would be helpful to your business during this time? 

 

1000 characters left.
7.
Please provide your contact information.  Your responses will be kept confidential.

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