Business Damage Survey


U.S. CITIzens and residents
Coming Soon

Entrepreneurs and business owners can fill out the Business Damage Assessment Survey to help assess and quantify the needs and damage caused by the coronavirus pandemic. Federal, state and local agencies will use the survey responses to identify and request resources and support.


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The survey is only available online and can be completed in just a few minutes. You will need to provide your contact information and details about the impact on your business, including the estimated cost of damage, number of employees and necessary changes such as layoffs. Please note: this survey is part of public record and could be made available to individuals and media upon request.

2 Minutes or less to complete survey
Apply now

Do you need help?

The organizations listed below are Axis Coalition Members and are ready to help you at no cost.

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