1 | (a) Is this business currently trading? |
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| ☐ Yes [Go to Q2] |
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| ☐ No [Go to comments] |
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2 | Does this business employ any staff? |
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| [NOTE: This includes all employees on the books and not currently working] |
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| ☐ Yes |
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| ☐ No |
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| [NOTE: Businesses are not required to check records for the following questions] |
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3 | (a) Over the past month, has revenue increased, decreased or stayed the same? |
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| [NOTE: Revenue refers to income generated from the sale of goods or services] |
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| ☐ Increased |
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| ☐ Decreased |
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| ☐ Stayed the same |
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| ☐ Don't know |
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| (b) And over the next month, do you expect revenue will increase, decrease or stay the same? |
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| [NOTE: Revenue refers to income generated from the sale of goods or services] |
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| ☐ Increase |
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| ☐ Decrease |
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| ☐ Stay the same |
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| ☐ Don't know |
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| (c) Over the past month, have operating expenses increased, decreased or stayed the same? |
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| [NOTE: Operating expenses refers to expenses incurred in undertaking normal business operating activities. Examples include payroll, rent, inventory cost, marketing and insurance] |
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| ☐ Increased |
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| ☐ Decreased |
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| ☐ Stayed the same |
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| ☐ Don't know |
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| (d) And over the next month, do you expect operating expenses will increase, decrease or stay the same? |
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| [NOTE: Operating expenses refers to expenses incurred in undertaking normal business operating activities. Examples include payroll, rent, inventory cost, marketing and insurance] |
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| ☐ Increase |
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| ☐ Decrease |
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| ☐ Stay the same |
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| ☐ Don't know |
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| (e) Over the past month, have the number of employees increased, decreased or stayed the same? |
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| ☐ Increased |
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| ☐ Decreased |
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| ☐ Stayed the same |
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| ☐ Don't know |
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| (f) And over the next month, do you expect the number of employees will increase, decrease or stay the same? |
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| ☐ Increase |
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| ☐ Decrease |
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| ☐ Stay the same |
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| ☐ Don't know |
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4 | (a) Over the next 3 months, how do you expect the price of goods or services sold by this business to change? Do you expect the prices will… |
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| ☐ Increase more than normal [Go to Q4b(i)] |
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| ☐ Remain unchanged [Go to Q4b(ii)] |
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| ☐ Decrease more than normal [Go to Q4b(ii)] |
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| ☐ Don't know [Go to Q5a] |
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| (b)(i) You indicated that over the next 3 months you expect the price of goods or services sold by this business to increase more than normal. Is this due to any of the following factors? |
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| ☐ Increase in staff wages or salaries (including overtime) |
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| ☐ Increase in other staff related costs (Includes costs related to superannuation, workplace health and safety and recruitment) |
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| ☐ Increase in the cost of products or services used by this business |
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| ☐ Increase in the cost of fuel and/or energy |
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| ☐ Increase in the cost of servicing debt (i.e. interest rate increases) |
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| ☐ Increase in other business overheads |
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| ☐ Increased customer demand |
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| ☐ Are there any other factors contributing to expected price increases of goods or services sold by this business? (Please specify) |
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| b(ii) You indicated that over the next 3 months you do not expect the price of goods or services sold by this business to increase more than normal. Is this due to any of the following factors? |
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| ☐ Business turnover is increasing in line with cost increases |
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| ☐ The business has fixed-price contracts (e.g. legal or formal contract arrangements) |
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| ☐ It is not practical to change prices (e.g. due to existing advertising in place) |
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| ☐ To retain customers (i.e. to minimise the risk of higher prices leading to lower demand) |
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| ☐ Are there any other reasons you do not expect the price of goods or services sold by this business to increase more than normal? (Please specify) |
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5 | (a) Over the past 3 months, has the business sought additional funds for any purpose? |
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| [NOTE: Includes funds sought from banks or other financial institutions, owners’ personal line of credit or savings (e.g. redraw facility on an existing loan), owners’ family or friends, and other businesses] |
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| ☐ Yes [Go to Q5b] |
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| ☐ No [Go to Q5c] |
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| ☐ Don’t know [Go to Q6a] |
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| (b) You indicated the business has sought additional funds over the past 3 months. Was the business successful in obtaining additional funds? |
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| ☐ Yes [Go to Q6a] |
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| ☐ Application still in progress [Go to Q6a] |
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| ☐ No [Go to Q6a] |
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| ☐ Don’t know [Go to Q6a] |
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| (c) You indicated the business has not sought additional funds for any purpose. Is this because the business…? |
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| ☐ Had sufficient funds |
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| ☐ Had no requirements for capital expenditure or other investments |
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| ☐ Is unwilling to increase debt |
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| ☐ Could not meet debt repayments |
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| ☐ Is unable to meet eligibility requirements |
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| ☐ Are there any other reasons the business has not sought additional funds for any purpose? (please specify) |
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6 | (a) Does this business usually have any capital expenditure this time of year? |
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| ☐ Yes |
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| ☐ No |
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| ☐ Don't know |
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| (b) Does the business have any planned capital expenditure on new or used assets for the next three months? |
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| [NOTE: Examples of new or used assets include vehicles, machinery and equipment, buildings and other structures] |
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| ☐ Yes [Go to Q6c] |
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| ☐ No [Go to Q6d] |
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| ☐ Don’t know [Go to Comments] |
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| (c) You indicated the business has planned capital expenditure on new or used assets for the next 3 months. Is the planned expenditure…? |
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| ☐ Higher than what is usual for this time of year |
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| ☐ The same as what is usual for this time of year |
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| ☐ Lower than what is usual for this time of year |
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| ☐ Don’t know |
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| (d) Have any of the following factors significantly influenced this business' planned capital expenditure on new or used assets for the next 3 months? |
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| ☐ Cost of doing business (i.e. operating costs (including staff related costs)) |
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| ☐ Demand for this business's products or services |
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| ☐ Access to business's own funds |
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| ☐ Access to external finance |
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| ☐ Domestic or International supply chain disruptions directly affecting the business |
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| ☐ Tax incentives for investment (e.g. Temporary Full Expensing, Loss Carry Back tax offset) |
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| ☐ Other government support measures (e.g. SME Recovery Loan Scheme) |
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| ☐ Uncertainty about the future state of the economy |
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| ☐ Are there any other factors that influence the business's capital expenditure on new or used assets? (please specify) |
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