How would you categorize your business? What state is your business in?AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingHow many full time employees do you have?12 - 56 - 1011 - 20Over 20Has your business been impacted or changed by COVID? Yes No Did your business suffer a drop in gross receipts in 2021 compared to 2019? Yes No Did your business suffer a drop in gross receipts in 2020 compared to 2019? Yes No Has your business been subjected to a shutdown order? Yes No If your business has not been subjected to a shutdown order, have any of your suppliers been subjected to a shutdown order? Yes No Was any part of your business unable to operate at full capacity due to shutdown orders? Yes No Did you pay any employees to NOT work during the pandemic? Yes No Was your business closed for any period during 2020 due to Covid 19? Yes No Was your business closed for any period during 2021 due to Covid 19? Yes No Did your business claim PPP? Yes No If your business claimed PPP was the loan forgiven? Yes No First Name Last Name Job Title Company Email PhoneCAPTCHA Δ
