| 1 | (a) Is this business currently trading? |
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| | ☐ Yes [Go to Q2] |
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| | ☐ No [Go to comments] |
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| 2 | Does this business employ any staff? |
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| | [NOTE: This includes all employees on the books and not currently working] |
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| | ☐ Yes |
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| | ☐ No |
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| | [NOTE: Businesses are not required to check records for the following questions] |
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| 3 | (a) Over the past month, has revenue increased, decreased or stayed the same? |
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| | [NOTE: Revenue refers to income generated from the sale of goods or services] |
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| | ☐ Increased |
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| | ☐ Decreased |
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| | ☐ Stayed the same |
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| | ☐ Don't know |
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| | (b) And over the next month, do you expect revenue will increase, decrease or stay the same? |
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| | [NOTE: Revenue refers to income generated from the sale of goods or services] |
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| | ☐ Increase |
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| | ☐ Decrease |
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| | ☐ Stay the same |
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| | ☐ Don't know |
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| | (c) Over the past month, have operating expenses increased, decreased or stayed the same? |
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| | [NOTE: Operating expenses refers to expenses incurred in undertaking normal business operating activities. Examples include payroll, rent, inventory cost, marketing and insurance] |
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| | ☐ Increased |
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| | ☐ Decreased |
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| | ☐ Stayed the same |
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| | ☐ Don't know |
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| | (d) And over the next month, do you expect operating expenses will increase, decrease or stay the same? |
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| | [NOTE: Operating expenses refers to expenses incurred in undertaking normal business operating activities. Examples include payroll, rent, inventory cost, marketing and insurance] |
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| | ☐ Increase |
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| | ☐ Decrease |
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| | ☐ Stay the same |
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| | ☐ Don't know |
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| | (e) Over the past month, have the number of employees increased, decreased or stayed the same? |
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| | ☐ Increased |
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| | ☐ Decreased |
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| | ☐ Stayed the same |
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| | ☐ Don't know |
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| | (f) And over the next month, do you expect the number of employees will increase, decrease or stay the same? |
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| | ☐ Increase |
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| | ☐ Decrease |
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| | ☐ Stay the same |
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| | ☐ Don't know |
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| 4 | (a) Based on current operations, does the business have a sufficient numbers of employees? |
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| | ☐ Yes [Go to Q5a] |
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| | ☐ No [Go to Q4b] |
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| | ☐ Don't know [Got to Q5a] |
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| | (b) You indicated the business does not have a sufficient number of employees. Are any of the following factors influencing how many staff this business currently has? |
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| | ☐ Availability of existing employees to work |
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| | ☐ Inability to find suitable staff |
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| | ☐ Difficulty retaining staff |
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| | ☐ Geographical barriers |
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| | ☐ Affordability of additional staff |
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| | ☐ Uncertainty due to COVID-19 |
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| | ☐ Are there any other factors that are influencing how many staff this business has? (Please specify) |
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| 5 | (a) Over the past three months, to what extent has the cost of doing business changed compared to usual? |
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| | ☐ Not at all [Go to Q5e] |
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| | ☐ Decreased [Go to Q5e] |
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| | ☐ Increased to a small extent [Go to Q5b] |
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| | ☐ Increased to a great extent [Go to Q5b] |
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| | ☐ Don't know [Go to Q5e] |
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| | (b) You indicated that over the past 3 months the cost of doing business has increased. Which of the following business costs have increased more than usual? |
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| | ☐ Staff wages or salaries (including overtime) |
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| | ☐ Other staff related costs (e.g. superannuation, workplace health and safety, recruitment and staff training) |
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| | ☐ Cost of products or services used by this business |
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| | ☐ Cost of fuel and / or energy |
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| | ☐ Other business overheads (excluding energy) |
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| | ☐ Are there any other business costs that have increased more than usual? (Please specify) |
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| | (c) You indicated that over the past 3 months the cost of doing business has increased. In response to these cost increases, has the business… (Please choose one option) |
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| | ☐ Completely passed the costs on to customers (i.e. Increased the price of goods or services sold by this business) |
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| | ☐ Partially passed the costs on to customers (i.e. Increased the price of goods or services sold by this business) |
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| | ☐ Not passed the costs on to customers (i.e. did not increase the price of goods or services sold by this business) |
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| | ☐ Don't know |
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| | (d) Can you please tell me whether the business has taken any of the following actions in response to these cost increases? |
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| | ☐ Renegotiated payment terms with customers or suppliers |
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| | ☐ Sought Additional funds |
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| | ☐ Deferred or cancelled investment plans |
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| | ☐ Made changes to business operations or processes |
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| | ☐ Has the business taken any other actions in response to cost increases? (Please specify) |
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| | (e) Now thinking about the next three months. Do you expect the following costs to increase more than usual? |
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| | ☐ Staff wages or salaries (including overtime) |
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| | ☐ Other staff related costs (e.g. superannuation, workplace health and safety, recruitment and staff training) |
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| | ☐ Cost of products or services used by this business |
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| | ☐ Cost of fuel and / or energy |
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| | ☐ Other business overheads (excluding energy) |
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| | ☐ Are there any other business costs you expect to increase over the next three months? (Please specify) |
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| 6 | (a) Is the business currently experiencing any supply chain disruptions? A supply chain is a logistics network between a business and its suppliers to produce and distribute a product to the customer. A supply chain disruption is an interruption to that network. |
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| | ☐ Yes [Go to Q6b] |
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| | ☐ No [Go to comments] |
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| | ☐ Don't know [Go to comments] |
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| | (b) You indicated the business is currently experiencing supply chain disruptions. To what extent are the supply chain disruptions affecting this business? (select one option only) |
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| | ☐ Not at all |
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| | ☐ A small extent (e.g. some delays but little impact on revenue) |
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| | ☐ A great extent (e.g. major delays/cannot obtain certain items and significant impact on revenue) |
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| | ☐ Don’t know |
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| | (c) What has been the most significant contributor to the supply chain disruptions experienced by this business? |
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