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* 1. Contact info (confidential):

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* 2. Type of Retail

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* 3. As compared to prior year, what percent reduction (or increase) have you seen in your sales over the last 5 weeks? (Please Indicate +/-):

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* 4. Have you closed your on site consumer operations?

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* 5. Have you reduced to only take out, delivery, curbside service or internet sales?

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* 6. Have you (check all those that apply):

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* 7. Have you attempted to renegotiate your lease or the payment terms of your mortgage?

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* 8. Have you applied (or do you plan to apply) for the Paycheck Protection Program (the CARE Act small business grant/loan program authorizing $350 B in support for those employing under 500)?

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* 9. Recognizing healthcare data will be the primary indicator of when stores and restaurants will be re-opened, and that openings will likely come with temporary social distancing requirements and other protections for employees and consumers, check all the following possible restrictions that you believe are appropriate, and you are willing to accept in order to open your doors (check all that apply):

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* 10. Unless once again extended, the current Order by the Governor would allow “non-essential” businesses to open beginning on May 4. We all recognize that decisions will be made primarily based on healthcare data, and perhaps on collective decision making of Governors throughout the Northeast. We also recognize consumer confidence and spending patterns may lag behind in a phased in reopening. Recognizing those points, please rank the following potential reopening days as to your preference for restarting the economy, with “1” being your most preferred, and “3” being your least preferred:

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* 11. Are you looking for resources to liquidate current inventory?

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* 12. Are you looking to purchase personal protection equipment (PPE)?

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* 13. Comments:

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