HOOSIERS FOR MEDICAL LIBERTY
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*
Indicates required field
Business Name
*
Contact Name
*
First
Last
What Indiana County is your business located in?
*
What kind of services does your business offer?
*
cosmetology, personal care
health & wellness
hospitality: hotels & restaurants
real estate & housing
recreation
retail
other
If you selected other, please list your business type.
*
How many customers do you serve per week?
*
Did the pandemic response impact the number of people you served?
*
Yes
No
Has your business recovered?
*
Yes
No
How many employees do you currently have?
*
How many employees did you have DURING the pandemic?
*
How many employees did you have pre-pandemic?
*
In what ways was your business affected?
*
Owner, decrease in pay or went without income
Temporary lay-offs
Decreased number of employees
Decrease in employee pay
Unable to obtain employees
Poor employee morale
Decrease in revenue
Forced to close permanently
Struggled to stay open
Not impacted
Increase in business
Other (please list below)
Please list any "other" ways your business was impacted
*
What would happen to your business if similar restrictions were enforced in the future?
*
During the pandemic, did you find the county health department to be helpful?
*
Yes
No
Comment on the County Health Department, if any.
*
During the pandemic, did you find the state public health department to be helpful?
*
Yes
No
Comment on the STATE Health Department, if any.
*
Were the county and state health departments helpful post-pandemic?
*
Prior to reading the info sheet provided, were you aware of the Governor's Public Health Commission's plan to restructure public health in the state?
*
Yes
No
What is your opinion on the plan?
*
Would you like more information on GHPC and pending legislation to help you understand how this might affect your business?
*
Yes
No
If so, please enter the best way to contact you.
Phone Number
*
Email
*
Thank you for taking the time to complete this survey!
Click submit to finish.
Submit
Home
Learn
Newsletter
News Letter Sponsor
Indiana Legislation
Election 311
2021 Session
2022 Session
2025 session
Political Immunization
Get Involved
Torchbearers
Membership
Liberty Dinners
>
H4ML Near Me Local Partner
Watchdogs
H4ML near me
Volunteer
Share H4ML
Healthcare Workers for Bodily Autonomy
Resources
Indiana Vaccine Registry
Kids
COVID-19 Mandates
Vaccine Adverse Event Reporting System
Vaccine Injury
>
Share your injury
Activism Training
Spellers
Exemptions
Report Discrimination
Outside Indiana
Medical Liberty Bookshelf
Petitions
Stop the Steal: Indiana Religious Exemption
Informed-Decisions
Prosecute Fauci
Safe Products, Stonger Indiana
Hands Off My Health Record
Kids vaccine Drive-thru
Bodily Integrity
Food Labeling Transparency
Injury Investigation
Blog
In the Media
H4ML Store
Hot Topics
Ban mRNA?
pLandemic version 2.0
GPHC shorts