COVID-19 loan application survey


During his testimony before the Senate’s Fiscal Recovery Strategists Committee, Dr. Thomas A Rossi, NJDA President, was requested to circulate a survey requesting information regarding applications for loans by dentists.  Please complete the ​anonymous survey below so we can furnish to the Senate Committee the information it requested. 

COVID-19 Loan Application Survey

Have you applied for any one of the following during the COVID-19 pandemic? (Check all that apply)





Have you received approval or funding for any one of the following during the COVID-19 pandemic? (Check all that apply)





Dental Practice Size



Which County is your practice located. (if more than one location, please check all that apply)




















What was your 2019 gross revenue?




Did you furlough or layoff employees as a result of the COVID-19 pandemic?

Are you anticipating rehiring all of your employees once you resume practice?

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