| 1 | (a) Is this business currently trading? |
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| | ☐ Yes [Go to Q2] |
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| | ☐ No [Go to Q1b] |
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| | (b) Is the halt in business trading a result of COVID-19? |
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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 the business’s current level of revenue and expenditure, how would you describe the current availability of cash on hand for this business? |
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| | [NOTE: Cash on hand includes savings, assets that can easily be sold, and unused credit facilities] |
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| | Currently, cash on hand should cover: |
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| | ☐ Less than 1 month of business operations |
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| | ☐ 1 to less than 3 months |
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| | ☐ 3 to less than 6 months |
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| | ☐ 6 months or more |
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| | ☐ Don’t know |
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| | (b) Compared to what is usual for this time of year, is the business’ current cash on hand? |
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| | [NOTE: Cash on hand includes savings, assets that can easily be sold, and unused credit facilities] |
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| | ☐ Higher than what is usual for this time of year |
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| | ☐ The same as what is usual for this time of year |
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| | ☐ Lower than what is usual for this time of year |
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| | ☐ Don’t know |
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| | NOTE: Questions 5 and 6 are to be answered by employing businesses only (i.e. those that selected 'Yes' to Question 2). Those responding ‘No’ to Question 2 go to Question 7 |
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| 5 | (a) Based on current operations, does the business have a sufficient number of employees? |
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| | ☐ Yes [Go to Q6a] |
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| | ☐ No [Go to Q5b] |
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| | ☐ Don’t know [Go to Q6a] |
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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? (select all that apply) |
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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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| | ☐ International border closures (e.g. can’t get staff from overseas) |
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| | ☐ Domestic border closures (e.g. can’t get staff from interstate) |
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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? |
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| 6 | (a) Are any of your existing employees currently unavailable due to factors related to COVID-19? |
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| | ☐ Yes [Go to Q6b] |
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| | ☐ No [Go to Q7a] |
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| | ☐ Don’t know [Go to Q7a] |
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| | b) You indicated that availability of employees is affected by factors related to COVID-19. Are any of the following reasons affecting employee availability? (select all that apply) |
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| | ☐ Staff have COVID 19 symptoms or illness |
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| | ☐ Self isolation or quarantine requirements |
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| | ☐ Pending COVID-19 test results |
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| | ☐ Caring responsibilities (For example: caring for others who are unwell or caring for children due to school or daycare closures) |
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| | ☐ Staff have indicated an unwillingness to work due to concerns over catching COVID |
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| | ☐ Any other reasons (please specify) |
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| | (c) You indicated that availability of workers is affected by COVID-19. What proportion of your workforce are currently impacted by COVID-19 and unable to work? |
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| | ☐ Less than 25 per cent |
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| | ☐ 25 to less than 50 per cent |
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| | ☐ 50 to less than 75 per cent |
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| | ☐ 75 to 100 per cent |
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| | ☐ Don’t know |
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| 7 | (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 Q7b] |
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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) Has the business made any of the following modifications in response to supply chain disruptions? (Choose 'Yes', 'no' or 'don't know' for each option) |
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| | ☐ Changed suppliers |
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| | ☐ Increased number of suppliers |
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| | ☐ Changed modes of freight |
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| | ☐ Changed ordering processes (e.g. ordering earlier or ordering more) |
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| | ☐ Changed operational processes (e.g. changed methods of producing goods or services) |
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| | ☐ Changed the types and range of products and services offered by the business |
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| | ☐ Changed the way products or services are provided to customers (e.g. adjusted customer allocations, adjusted order processing timeframe, shifted more operations online) |
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| | ☐ Increased price of goods or services |
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| | ☐ Has the business made any other modifications in response to supply chain disruptions? |
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