COVID-19 Impact Survey - Greater Austin Hispanic Chamber of Commerce (GAHCC):

Company Name

Which industry is your business in?

Finance, Insurance, and Real estate Food and Beverage Healthcare Hospitality and Tourism Manufacturing Professional Services Retail Technology Other

If other, which industry

Annual revenues

< $100,000 $100k - $500k $501k - $1M $1M - $5M $5M +

Number of employees

Number of years in business

How has your business been affected by COVID-19?

Decline in business Down sizing of workforce Event cancellations Forced closure Mandatory remote work policies Mandatory travel restriction Spending restriction due to uncertainty Supply chain concerns Other

If other, how

At this point in time, what level of impact do you expect COVID-19 to have on your business?

High (this may put us out of business) Medium (this is going to significantly impact our financials) Low (this may impact us financially but we are confident we can weather the storm) None

What can the Chamber do to assist you right now?

What type of information and/or support do you need the most right now?

First and Last Name

Address, City, State, Zip

Phone Number

Email Address

If you would like an immediate follow up, which method of communication do you prefer?

Telephone call E-mail Do not need immediate follow up