GABCC Business Survey

GABCC Business Impact Survey

Business Name *

Name *

First

Last

Email Address *

Phone Number *

Address *

Line 2 *

City *

State *

Zip Code *

Country *

1. How is/was your business impacted by Covid-19? *

2. What percentage(%) of revenue did your business lose during the Pandemic (skip if no revenue loss)? *

3. Please Identify Your Race: *

4. Are you working to close your business or transition to a new business? * *

5. What type of funding have you received for your business during Covid-19? *

6. Did you retain all employees or had to lay off staff? *

7. How many employees were impacted from question 6? *

8. Please select your Business Industry. *

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