COVID-19 Questionnaire

Quick Business COVID - 19 Questionnaire

* Indicates required field

Legal Company Name: *

Address *

Please describe how your business is operational and/or essential during this time of Covid-19: *

Are there any expected negative impacts of Covid-19 on your business? If so, please describe: *

Please describe the need & use for the equipment for your business at this time: *

What are your plans in the event of severely reduced revenues over the next 3‐6 months? *

With this equipment, what are the approximate cash flow (Revenue) projections over the next few months for your business: *

Additional info you’d like us to know regarding your business and Covid-19: *

Signature (please type) *

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