Please fill out this form developed by Hofstra University to help government officials assess the economic impact of COVID-19 on your business. We estimate this survey will take ten minutes.

Company Information

Question 1

Question 2

Question 3

Question 4

Question 5

Question 6

Question 7

In what county is your headquarters?

Question 8

Are you designated as an essential business, per New York State guidance (

Question 9

Can we add your email to a mailing list, which will provide updates regarding this initiative?

Question 10

What industry sector is your business?

Question 11

What is the legal structure of your business?

Question 12

How many years have you been in business?