Thank you for taking a moment to fill out this survey. Please reach out to us if you think we could of be of any assistance to you during this difficult time. United Way Community Partner Business Name Person filling out this form Your email Your phone number How is your business currently operating? - Select -Regular staff/Operating hours Reduced staff/Hours Not operating due to COVID-19 Please select how your business has been affected by COVID-19 int he past - Select -Reduced staff/Hours Shutdown due to COVID-19 No effect Does your company anticipate any changes in the near future? Do you anticipate that your staff will be able to honor their payroll deduction pledges? Do you anticipate the company will be able to honor their 2019 pledges? CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Submit Leave this field blank
