[City of Orange] Business Survey

1. What business industry does your business fall under:

a. Retail

b. Service

c. Restaurant

d. Professional Services

e. Finance

f. Manufacturing

2. Number of Employees

a. 1 – Self Employed/Sole Proprietorship

b. 2-9 – Micro

c. 10-99 – Small

d. 100-499 – Medium

e. 500+ - Large

3. Level of impact to your business as a result of the COVID-19 Pandemic

Significant

Moderate

Marginal

None

N/A

a. Reduction in business hours

a. Reduction in business hours/Significant

a. Reduction in business hours/Moderate

a. Reduction in business hours/Marginal

a. Reduction in business hours/None

a. Reduction in business hours/N/A

b. Staff working from home/telecommuting

b. Staff working from home/telecommuting/Significant

b. Staff working from home/telecommuting/Moderate

b. Staff working from home/telecommuting/Marginal

b. Staff working from home/telecommuting/None

b. Staff working from home/telecommuting/N/A

c. Decreased business

c. Decreased business/Significant

c. Decreased business/Moderate

c. Decreased business/Marginal

c. Decreased business/None

c. Decreased business/N/A

d. Decreased payroll

d. Decreased payroll/Significant

d. Decreased payroll/Moderate

d. Decreased payroll/Marginal

d. Decreased payroll/None

d. Decreased payroll/N/A

e. Employee furloughs/lay-off’s

e. Employee furloughs/lay-off’s/Significant

e. Employee furloughs/lay-off’s/Moderate

e. Employee furloughs/lay-off’s/Marginal

e. Employee furloughs/lay-off’s/None

e. Employee furloughs/lay-off’s/N/A

f. Financial liquidity (working capital/cash flow)

f. Financial liquidity (working capital/cash flow)/Significant

f. Financial liquidity (working capital/cash flow)/Moderate

f. Financial liquidity (working capital/cash flow)/Marginal

f. Financial liquidity (working capital/cash flow)/None

f. Financial liquidity (working capital/cash flow)/N/A

g. Operational challenges (delays in chair supply, logistics, getting goods to market)

g. Operational challenges (delays in chair supply, logistics, getting goods to market)/Significant

g. Operational challenges (delays in chair supply, logistics, getting goods to market)/Moderate

g. Operational challenges (delays in chair supply, logistics, getting goods to market)/Marginal

g. Operational challenges (delays in chair supply, logistics, getting goods to market)/None

g. Operational challenges (delays in chair supply, logistics, getting goods to market)/N/A

h. Operational pressures (cancelled contracts, access to materials)

h. Operational pressures (cancelled contracts, access to materials)/Significant

h. Operational pressures (cancelled contracts, access to materials)/Moderate

h. Operational pressures (cancelled contracts, access to materials)/Marginal

h. Operational pressures (cancelled contracts, access to materials)/None

h. Operational pressures (cancelled contracts, access to materials)/N/A

i. Forced to temporarily/permanently close

i. Forced to temporarily/permanently close/Significant

i. Forced to temporarily/permanently close/Moderate

i. Forced to temporarily/permanently close/Marginal

i. Forced to temporarily/permanently close/None

i. Forced to temporarily/permanently close/N/A

4. What are the City’s best methods to provide information about the City’s COVID-19 response? (choose 2 max)

a. Website

b. Social Media

c. Email

d. Television

e. Mailer

5. Are you interested in finding out more about the following resources?

a. City’s COVID-19 Website/Facebook

b. Payroll Protection Program (SBA)

c. Economic Injury Disaster Loan (SBA)

d. Small Business Development Center (SBDC)

e. Orange Chamber of Commerce

6. Would you like a follow-up call from the City’s Economic Development Department?

a. No

b. Yes – Provide contact information below (business name, address, telephone number, email)

7. Anything more to share?

OPTONAL** The City is gathering a list of businesses open to the public. If you would like your business added to the list, please provide the following information:

Full Name

First Name

Last Name

Address:

Address or Location