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Company Name
Contact Name
Email address
Mobile number
Address
How many employees did you have in:
2019
Please select
5-10
11-25
26-50
51-75
76-100
101-250
251-499
>500
Please select
2020
Please select
5-10
11-25
26-50
51-75
76-100
101-250
251-499
>500
Please select
2021
Please select
5-10
11-25
26-50
51-75
76-100
101-250
251-499
>500
Please select
Did your business have a reduction in revenue due to the COVID pandemic?
YES
NO
Was any portion of your business operations at least partially suspended due to the COVID pandemic and government orders related to it?
YES
NO
Did your business have supply chain issues or labor shortage due to the COVID pandemic?
YES
NO
Additional Comments or Questions
Verification
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