1. Business Name

2. Doing Business As

3. Crib Number

4. Contact Number

5. Contact Email

6. Year of Establishment

7. Which of the following BEST describes your business’s primary activity? Please select “other” if you do not see your industry or if you are unsure.

Agriculture

Manufacturing

Transportation or warehousing

Retail trade (does not include restaurants)

Wholesale trade

Finance (includes accounting)

Health care or social assistance

Education and training

Human Resource

Real Estate

Leisure and Hospitality

Unsure

Other activities

8. Please describe what your business does (barber shop, law firm, insurance agency, construction, etc.)

9. Is your business a member of any associations or groups?

9a. If yes, please indicate below

Other assosiation or group

10. Does your business have any paid employees, excluding owners and consultants?

11. How many people does your business employ, excluding owners and consultants?

11a. How many full time employees? (40+ hours per week)

11b. How many part-time employees? (less than 30 hours per week)

12. How many women does your company employ?

13. How many men does your company employ?

14. How was your business been classified during the covid-19 shutdown measures?

15. Roughly, what was your business’s total revenues in 2019 in US Dollars?

16. Roughly, what is your business’s total estimated loss due to the measures taken to combat COVID-19?

17. Has your company executed any of the following actions as a direct result of business closure? Select all that is applicable.

reduced the working hours/days/salary of some employees

reduced the working hours/days/salary of all employees

terminated some employees

terminated all employees

sent home some employees with pay

sent home all employees with pay

sent home some employees without pay

sent home all employees without pay

No measures have been taken

17a. if working hours/days were reduced for some, how many employees?

17b. if some were terminated, how many employees?

17c. if some sent home with pay, how many employees?

17d. if some were sent home without pay, how many employees?

17e. If no measures were taken, do you expect to take any of the first eight measures listed within the next 3 to 6 or even 12 months?

18. Which measures do you intend on taking in the next 3 to 6 or even 12 months, from the date of completing this survey? Select all that is applicable.

reduced the working hours/days/salary of some employees

reduced the working hours/days/salary of all employees

terminated some employees

terminated all employees

sent home some employees with pay

sent home all employees with pay

sent home some employees without pay

sent home all employees without pay

No measures will be taken

19. What measures can be implemented to assist your business and its employees moving forward? Please list (3) measures.

1.

2.

3.

20. Does your company have a contingency plan in place to address the economic and or financial shock due to natural disasters and or viral pandemics?

Disclaimer
The information provided herein is accurate and truthful. I agree that the form should not be changed from the original issued by Government of Sint Maarten.

Covid 2019 Impact Labour Market Survey