Wyoming County Business Survey
RequiredRequired Question(s)
1.

What is your current business operations status?

Open
Partially Open (limited hours/take-out only)
Closed
2.

What is the current level of employment at your business?

Full employment
Partial employment
Staff unemployed (Lay-off) (Filed for Unemployment Insurance)
Utilizing Shared Work program
Other  
  • Comment:

  • 500 characters left.
3.

Did you apply for any financial assistance? Check all that apply.

Emergency Injury Disaster Loan (EIDL)
Paycheck Protection Program (PPP)
Other SBA Loan Program
Specific Industry Assistance
Pandemic Unemployment Assistance (PUA)
Other  
  • Comment:

  • 500 characters left.
4.

What are your biggest needs/concerns with re-opening?

Financial support
Customer awareness/confidence
Health and safety
Employees returning
Health and safety supplies (ie PPE)
Other  
  • Comment:

  • 500 characters left.
5.

Do you believe that a regional opening approach to re-start the state economy is the right path forward? 

Yes
No
Other  
  • Comment:

  • 500 characters left.
6.

Will you be ready to open when allowed? 

Yes
No
Other  
7.

How long will it take you to re-open?

Immediately
Weeks
Months
I may not re-open
Other  
  • Comment:

  • 500 characters left.
8.

Do you have a Re-Opening Plan for your business? This would be a plan that focuses on the health and safety of your employees and customers, and how your business would function.

Yes
No
9.

If no to question 8, do you need assistance with creating a plan?

Yes
No
10.

Is adequate/available childcare for your employees an impediment to bringing back your workforce?

Yes
No
Other  
  • Comment:

  • 500 characters left.
Required 11.
Please enter the information indicated below. Your responses to the survey are confidential. 

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