BBN Business Impact Survey
Share how recent disruptions and funding changes have affected your business. Responses can be anonymous and will help BBN target support and report community impact.
Business Name (optional)
City or Neighborhood
*
Business Type
*
Please Select
Retail
Restaurant/Food Service
Personal Services (e.g., salon, repair)
Arts/Entertainment
Professional Services
Nonprofit
Healthcare
Construction
Other
What impacts has your business experienced recently? (Select all that apply)
*
Foot traffic down
Sales down
Event cancellations
Customer behavior shift
Staffing impact
Other
Estimated change in sales compared to before the disruption
*
No change
Down 1–10%
Down 11–25%
Down 26–50%
Down 50%+
What is your business's biggest urgent need right now?
*
Rent/Utilities
Payroll
Inventory
Marketing
Equipment
Legal referral
Other
Are you interested in a relief pop-up partnership?
*
Yes
No
Would you like BBN to follow up with you? (Optional)
Yes, please contact me
Responses can be anonymous. All information will be used to target support and report community impact.
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Submit Survey
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