Aurora Business Visitation Online Intake Form

Company and Primary Contact

Name

Company

Address

Email

Phone number

Would you like to schedule a business visit or outreach call with the Town*

Yes – I would like to schedule a business visit at my location

Yes- I would like to schedule an outreach call

No

Unsure (please explain)

What is the expected impact on your business due to COVID-19?

Definite confidence that business will re-open/continue

Confident that business will re-open or continue

Somewhat confident that business will re-open

Unclear at this time

Little confidence that business will re-open or continue

Definite permanent closure of business

What support do you need as you reopen or prepare to reopen your business?

What is your most pressing concern with regards to your business at this time?

How can we help?

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