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2. The City of Cocoa is gathering information about the impact of COVID-19 on City businesses and how we can potentially assist. This survey aims to identify possible public programs that may help you recover as a business owner in Cocoa. Such a survey is helpful to our understanding of possible actions/procedures that can be developed within our community to protect and preserve your business. COVID-19 has been very tragic and is having a very large impact. The economic losses are monumental and we will all need to work together to recover. Please take just five minutes to answer a few questions that will help us develop loan/grant programs that may help your business.
4. How many employees does your business have?
6. How confident are you that your business will recover in the next 6 months?

   1. Very confident
   2. Not confident
   3. Currently doing well
   4. I have modified my business to remain open an profitable
8. I am taking advantage of the (check all that apply):

   1. SBA Paycheck Protection Program
   2. Economic Injury Disaster Loan Program
   3. Private loan from a bank
   4. Other
10. If you selected other, which other form of assistance are you taking advantage of?
12. What resources can the city provide when the Executive Order is lifted to assist you to reopen/regain business?
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14. 1. Receive an email copy of this form.
15. Email address

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16. Submit

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