| 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) Over the past 3 months, how difficult or easy will it be for this business to meet its financial commitments? Will it be… |
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| | [NOTE: Financial commitments include any debts or regular payments that must be made by the business] |
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| | ☐ Very difficult |
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| | ☐ Difficult |
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| | ☐ Neither difficult nor easy |
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| | ☐ Easy |
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| | ☐ Very easy |
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| | ☐ Not applicable as my business does not have any financial commitments over the next three months |
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| | ☐ Don't know |
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| | For options 1-5: You said it will be [insert word sub from Q4 responses ‘very difficult, difficult, neither difficult nor easy, easy, very easy’] for this business to meet its financial commitments over the next 3 months. Can you provide any further information about this? |
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| 5 | (a) Over the next 3 months, how do you expect the price of goods or services sold by this business to change? Do you expect the prices will… |
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| | ☐ Increase more than normal [Go to Q5b] |
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| | ☐ Remain unchanged [Go to Q6a] |
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| | ☐ Decrease more than normal [Go to Q6a] |
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| | ☐ Don't know [Go to Q6a] |
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| | (b) You indicated that over the next 3 months you expect the price of goods or services sold by this business to increase more than normal. Is this due to any of the following factors? |
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| | ☐ Increase in staff wages or salaries (including overtime) |
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| | ☐ Increase in other staff related costs |
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| | ☐ Increase in the cost of products or services used by this business |
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| | ☐ Increase in the cost of fuel and / or energy |
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| | ☐ Increase in other business overheads |
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| | ☐ Increased customer demand |
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| | ☐ Are there any other factors contributing to expected price increases of goods or services sold by this business? (please specify) |
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| | NOTE: Question 6 is to be answered by employing businesses only (i.e. those that selected 'Yes' to Question 2). Those responding ‘No’ to Q2 to be sequenced to Q7. |
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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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| | [NOTE: Factors might include staff that have/think they have COVID-19, staff that are a close contact and isolating, or staff that don’t want to come into work for fear of contracting 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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| 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) Have any of the following factors impacted this business’ supply chain? |
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| | ☐ Existing suppliers unable to provide products (supply constraints) |
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| | ☐ Unable to source or substitute alternate suppliers for products |
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| | ☐ Increased prices (including cost of transport) |
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| | ☐ Increased time to receive products from suppliers (i.e.. domestic and international delivery delays) |
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| | ☐ Any other factors? |
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