Coronavirus Small Business Survey
First Name
Last Name
City
Zip
Email
Did you find this email useful?
Yes
No
Are you a small business owner?
Yes
No
Are you or a loved one experiencing a problem with the federal government related to the coronavirus?
Yes
No
I am a (check all that apply):
Small Business Owner
Gig Worker
Veteran
Family of a Veteran
Military Service Member
Military Family Member
Federal Worker
Federal Contractor
Family of a Federal Worker
Family of a Federal Contractor
Federal Retiree
Prefer Not to Say
None of the Above
What Issues are most important to you?
Agriculture
Banking & Financial Services
Budget
Civil Rights
Commerce & Trade
Defense & Armed Services
Economy
Education, K-12
Education - Higher-ed
Energy
Environment
Federal Workers
Foreign Relations
Government Performance
Health Care
Housing
Labor
Immigration
Seniors
Taxes
Transportation
Veterans
Other (please specify)