COVID-19 Business Support

Name*:

Phone number*:

Email address*:

Business name*:

What region is your business located in?*

Which of the following sectors is your business in?*

If other, please state:

What is your business structure?*

What is your business size FTE?*

If other, please state:

To understand the future impact on your workforce, what is your forecasted labour workforce likelihood?*

If you are predicting a reduction in staff numbers, how many FTE's do you forecast you will lose in the next 3 months?

If you are predicting a reduction in staff numbers, how many FTE's do you forecast you will lose in the next 6 months?

Last years revenue*

Have your revenues decreased when compared to the same month last year?*

If you have experienced a decrease in revenue, what is your % decrease when compared to the same month last year?

To understand the future impact on your revenues resulting from COVID-19, what is your forecasted revenue likelihood?*

If you are predicting a reduction in revenue, what is your forecasted revenue loss for the next 3 months?

If you are predicting a reduction in revenue, what is your forecasted revenue loss for the next 6 months?

To understand the future impact on production capacity and outputs, what is your forecasted production likelihood?

If you are predicting a reduction in production outputs, what is your forecasted production % decrease for the next 3 months?

If you are predicting a reduction in production outputs, what is your forecasted production % decrease for the next 6 months?

If other, please state:

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