COVID-19 Coronavirus Emergency Business Outreach Survey

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The City of Harrisburg asks that you please take a few moments to complete this survey. By sharing with us the types of challenges your business may be facing, we can use that information to provide assistance and identify useful resources to help you during this time of crisis. Thank you.

Email *

Contact Name *

Business Name *

Are you a resident of the City of Harrisburg? *

Yes

Is your business located in the City of Harrisburg *

Yes

Business Type (Select Best Match) *

Professional Services

Retail

Hospitality

Specialty Services (barber shop, nail salon, dry cleaner, etc.)

Construction Related

Goods and Supplies

Other:

Address *

Telephone Number *

Number of Employees *

0 (Sole Proprietorship)

1-5

6-10

11-25

26-50

51-100+

Hours of Operation

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