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1. BREVILLE Page 1 of 5 <br /> Sample - BREVILLE Survey Instrument <br /> 11 Which of the following industry categories best describes your business? <br /> (choose one answer) <br /> OAgriculture Production <br /> O Mining <br /> 0 Construction <br /> O Manufacturing <br /> O Transportation and Public Utilities <br /> 0 Wholesale trade <br /> Cm Finance, Insurance, and Real Estate <br /> 0 Retail trade <br /> C Lodging <br /> 0 Tourism /recreational services (i.e. golf, boating, bicycle rental, theatre, etc.) <br /> O Other Services <br /> 0 Food & beverage <br /> 0 Education <br /> O Mail order / Internet Sales <br /> C> Government (not including education) <br /> O Other: <br /> Section 3 - Labor Force <br /> ..Part a - Employee counts <br /> 6 to 11 to 16 to 21 to 26 to 1 51 or <br /> 1 to 5 10 15 20 25 50 more <br /> 27. Currently - How many full time workers <br /> (including yourself) are employed by 0 0 0,0 0 0 0 <br /> you at this location? <br /> 28. Currently, How many part-time workers <br /> are employed by you at this location? 0 O O O 0 0 0 <br /> 29. Currently, How many seasonal workers <br /> are employed by you at this location? O O U O 0 0 0 <br /> 30. Currently, How many 'Temp agency <br /> employees' are employed b ou at 0 <br /> by U 0 0 O 0 0 0 <br /> this location? <br /> 31. Three Years ago, how many Full -time <br /> workers (including yourself) were 0 0 0 0 0 0 0 <br /> employed by you at this location? <br /> 32. Three Years ago, how many part-time <br /> workers were employed by you at this O O 0 0 O 0 0 <br /> location? <br /> II w 11 1111 I I <br /> http: / /www. extension .umn.edu /businessretention/to28 it /Partial %20surveys %20and %20se... 1/23/2012 <br />