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* 1. How will the UK leaving the EU affect your business? Do you expect the impacts to be positive or negative?

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* 2. In the context of Brexit, what are the top five priorities for your business?

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* 3. Do you have concerns that leaving  the EU will affect your business operations? If so, explain how.

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* 4. Are you undertaking any activities to prepare your business for Brexit. If so, what are they? If not, why not?

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* 5. What challenges does Brexit present for your business, short, medium and long-term?

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* 6. Does Brexit pose any barriers to progress for your business ?

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* 7. Where would you look for business advice on Brexit?

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* 8. In what form would Brexit advice be most useful (tick all that apply)?

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* 9. Are there any other comments on Brexit preparedness that you would like to pass on on to the Department for Business, Energy and Industrial Strategy?

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* 10. Where in Cumbria does you business operate (tick all that apply)?

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* 11. What sector do you operate in?

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* 12. How many people do you employ?

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