"The main concern we heard on the road was around the supply of labour, the ability to find the right people and threats to migration policy," KiwiBank chief economist Jarrod Kerr said.
The rise of the minimum wage was also a "secondary" concern, with many small businesses expressing doubts over their ability to pass on higher wage bills.
"Uncertainty around political policies plague confidence but many businesses face growing pains, rather than contractions."
While the region's economy scored a 7 overall, the report noted it "felt" more like an 8.
"We take a look at the regional indicators and overlay some feel-good (or not-so-good) factors. We use hard data to generate an "economic score", and anecdotes to give a "feels like" factor."
Last month Kerr visited Hawke's Bay, in preparation of the new report, where he noted the region as being a "stand out" performer and one of the most "upbeat" in New Zealand.
KiwiBank regional manager Garth Duncan said the region's economy was in a "hawkish" mood.
"Tourism remains strong, with motel occupancy rates high," he said.
"The apple industry remains strong,with large players climbing over each other to lease/secure long-term supply.
"High Street retail appears tough but should enjoy a boost in Napier from seasonal cruise ship visits."