2. The City of Lake Forest is inviting you to take part in this survey to gain the perspective of business owners impacted by COVID-19 and the assistance needed to recover. Your responses will help us determine the direction for such a program. Your address or business will not be identified in the survey results.

   If you need more information regarding this survey, please contact the Economic Development Division at: (949) 461-3567.

4. Business or Organization Name:
6. Business Address:
8. Phone Number:
10. Email Address:
12. Business Website:
14. Social Media Accounts:

    Please select all social media outlets that your business currently utilizes.

    1. Facebook
    2. Instagram
    3. Twitter
    4. YouTube
    5. Pinterest
    6. TikTok
    7. Other
16. For Other"

    If you selected "other", please submit your response here. 

18. Social Media Accounts (Continued):

    Please fill in the field with links to your social media pages for your business. 

20. What year was your business/organization established in Lake Forest?
22. Please indicate your business type:
    -- Select One --Auto-RelatedBeauty/Personal Care Services (Hair, Nail, Waxing, Tattoo)Childcare, Education, TutoringEntertainment/RecreationFinance, Insurance, Real EstateFitness Center/GymGrocery StoreHome-BasedHospitality & TourismDistribution, Light-Manufacturing or ProductionMedical Offices (Dental, Physician, Pharmacies)Non-ProfitProfessional and Technical ServicesRestaurant, Bar, Pub, and other Food/DrinkRetail StoreTechnologyOther
24. For Other:

    If you selected "other", please submit your response here. 

26. Has your business/organization been negatively impacted by COVID-19?

    1. Yes
    2. No
    3. Other
28. For Other:

    If you selected "other", please submit your response here. 

30. What are the immediate needs of your business due to COVID-19?
32. What are the on-going/long-term needs of your business due to COVID-19?
34. Are you currently understaffed?
36. If you could receive an assistance grant, how much would your business/organization need to properly recover?

    1. $5,000
    2. $10,000
    3. $15,000
    4. $20,000
    5. More
38. For More:

    If you selected "more", please submit your response here.

40. If you are a restaurant, have you used outdoor dining during the Pandemic and would you like to continue or enhance outdoor dining?

    1. Yes
    2. No
    3. Other
42. For Other:

    If you selected "other", please submit your response here.

44. If you responded "yes" or "other", how long would you like to continue to have the ability to conduct outdoor operations?

    1. Through Summer 2022
    2. Through the end of December 2022
    3. Other
46. For Other:

    If you selected "other", please submit your response here.

48. What type of assistance would be helpful for your business/organization now and in the future? (Select all that apply)

    1. Continue outdoor operations
    2. Online business support (website assistance)
    3. Financial training and resources (access to capital, debt management, etc.)
    4. Employee training and hiring assistance
    5. Job fairs
Leave This Blank:


50. 1. Receive an email copy of this form.
51. Email address

    This field is not part of the form submission.

52. Submit

* indicates a required field