Risk Assessment This form is a guide to help you in your decision to whether or not you should close your business
First and Last Name
Business Name
Email Address
Which state is your business located? (I.e. 'Alabama')
Approximately how many cases of COVID-19 do you have in your area?
Approximately how many people are hospitalized in your area due to COVID-19?
Approximately how many people are in the ICU in your area due to COVID-19?
Approximately how many ventilators are there?
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