Business Impacts of COVID-19 Survey

Thank you for filling out this survey. As the City of Philadelphia's Department of Commerce, we're primarily focused on impacted businesses within Philadelphia County.

Question Title

* 1. Contact Information

Full Name (First, Last)

Business Name

Business Address

Business ZIP/Postal Code

Email Address

Phone Number

Question Title

* 2. Please describe your business loss due to COVID-19. Please describe any revenue decline, if applicable.

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* 3. What was your annual business revenue last year?

<$100K

$100K-$299K

$300K-$499K

$500K-$999K

$1M-$2.9M

$3M-$4.9M

$5M-$9.9M

$10M+

Question Title

* 4. Please estimate any revenue decline you've experiences as a result of COVID-19, if applicable

<10%

10-20%

21-30%

31-40%

41-50%

51-60%

61-70%

71-80%

81-90%

91-100%

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* 5. How many employees do you have?

1-5

6-10

11-20

21-50

51-99

100+

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* 6. What is your industry?

Childcare

Construction

Hospitality (restaurant, catering, hotels)

Entertainment (theaters, cultural institution, etc.)

Manufacturing

Distribution/Logistics/Warehousing

Personal Services (barber shop, nail salon, dry cleaner, etc.)

Professional Services

Retail

Social Services

Other (please specify)

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* 7. Are you interested in other business services? Check all that apply.

Business Education Courses

Business Preparedness (general)

Financing Assistance

Legal Assistance

MWDBE certification

Understanding City Rules and Regulations for Businesses

Other (please specify)