American firms in China are increasingly pessimistic about how quickly they can rebound from the coronavirus, with less than a quarter back at normal work levels. The outbreak and the government’s efforts to halt the spread from late January halted much business activity across China. Half the 119 U.S. companies surveyed said they’ve had “significant revenue declines,” and more than half say they expect revenue from China to fall this year if they can’t get back to normal work levels by the end of April.

Only 22% of the companies surveyed by the American Chamber of Commerce in China said they’re back to normal, while a quarter expect to be there by the end of April. Another 22% of firms said they expect further delays through the summer.

While the sample size is small and foreign companies aren’t representative of the broader economy, that resumption rate is well below official claims that over 90% of manufacturing companies and more than 60% for services firms are back at work.

“Our member companies are still wrestling with challenges brought by the epidemic, and there’s now concern about the global impact,” said AmCham China Chairman Greg Gilligan. “Since our last survey, this has now become a worldwide pandemic and close to half of the companies said the global spread of the virus would have a moderate-to-strong impact on their China operations.”

The survey, conducted between March 13 and 18, showed companies have a more pessimistic outlook compared with a previous survey in February. Almost 40% said demand for their products is down, compared with 22% in February.