Business Name (required)

Contact Email (required)

Contact person (required)

Have you received PR$ from customers?
NoneFew: $1-100Some: $101-500Many: >$500

Have you deposited any PR$ to your online account?
NoneFew: $1-100Some: $101-500Many: >$500

Have you spent any PR$ at participating businesses?
NoneFew: $1-100Some: $101-500Many: >$500

Have you made use of PR$ in other ways?
NoneFew: $1-100Some: $101-500Many: >$500

Do you have PR$ bills sitting unused?
NoneFew: $1-100Some: $101-500Many: >$500

Have you accessed any of the educational materials about PR$ on the PR$ web site
YesNo

Do you know how to get more PR$?
YesNo

Do you know where you can spend PR$?
YesNo

Do you know how to access your online PR$ account?
YesNo

Do you know how to deposit PR$ to your account?
YesNo

What direction do you think the PR$ program should take, going forward?
Continue as isChange directionClose downOther

If you have ideas for future directions, please tell us here:

Are you still accepting PR$ at your business?
YesNo

Do you know what you would need to do if you wanted to leave the PR$ program?
YesNo

Would you be interested in participating in administration and leadership of this program?
YesNo

[recaptcha]