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- Date*
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Format: (000) 000-0000.
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- 1. Has your business been affected by Covid-19? If so, select all that apply and/or specify:*
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- 3a. What is the Full-time, Part-time employee count and payroll amounts for the beginning of March 2019, 2020, 2021 and 2022?*
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- 4. What are the Total Annual sales, receipts, shipments or revenue ($) for 2019, 2020, 2021 and 2022? *
- 5a. Did your business have any virtual operations before the Covid-19 shutdown?*
- 5b. What percentage of Annual sales, receipts, shipments or revenue were a result of e-commerce or virtual transactions for 2019, 2020, 2021 and 2022? *
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- 6. Have you received any Covid-19 assistance from the government, non-government organizations or other associations?*
- 7. What business assistance from the American Samoa Government would be most beneficial for you?*
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- Should be Empty: