Coronavirus Business Reopening Survey
Business Name
Business Phone Number
Please enter a valid phone number.
Business Email
example@example.com
Business Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Business Website
Industry
Contact Person Name
First Name
Last Name
Contact Person Phone Number
Please enter a valid phone number.
Contact Person Email
example@example.com
How many staff/employees do you have?
What is the current state of your business?
Full Operation (All employees are available)
Operational but 50% was laid off/furlough
Operational but 25% was laid off/furlough
Temporarily Closed
Permanent Closed
Other
When are you planning to reopen your business?
-
Month
-
Day
Year
Date
Do you already have an existing plan on reopening your business?
Do you already have a process in terms providing security to the customers related to COVID-19 pandemic?
Will you allow work from home for employees?
Yes
No
Maybe
Does your company have enough budget for it to run?
Yes
No
Maybe
Without external help and based on your budget, how long your business last if the pandemic keeps on going?
What are your business concerns as of this moment?
Submit
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