Employee Benefits Survey

Name

First Name

Last Name

Email

Which benefit option is most important to you?

Medical Life Short-Term Disability Long-Term Disability Retirement

How satisfied are you with the following benefits?

How satisfied are you with the following benefits?
	Very Satisfied	Satisfied	Neutral	Dissatisfied	Very Satisfied
Medical Care Plan	How satisfied are you with the following benefits?: Medical Care Plan (Very Satisfied)	Medical Care Plan (Satisfied)	Medical Care Plan (Neutral)	Medical Care Plan (Dissatisfied)	Medical Care Plan (Very Satisfied)
Health and Life Insurance Plan	Health and Life Insurance Plan (Very Satisfied)	Health and Life Insurance Plan (Satisfied)	Health and Life Insurance Plan (Neutral)	Health and Life Insurance Plan (Dissatisfied)	Health and Life Insurance Plan (Very Satisfied)
Disability Insurance	Disability Insurance (Very Satisfied)	Disability Insurance (Satisfied)	Disability Insurance (Neutral)	Disability Insurance (Dissatisfied)	Disability Insurance (Very Satisfied)
Retirement Plan	Retirement Plan (Very Satisfied)	Retirement Plan (Satisfied)	Retirement Plan (Neutral)	Retirement Plan (Dissatisfied)	Retirement Plan (Very Satisfied)
Dental Plan	Dental Plan (Very Satisfied)	Dental Plan (Satisfied)	Dental Plan (Neutral)	Dental Plan (Dissatisfied)	Dental Plan (Very Satisfied)

Please tell us how strongly you agree or disagree with the following statements.

Please tell us how strongly you agree or disagree with the following statements.
	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
I can easily access information about employee benefits, and I understand all the available options.	Please tell us how strongly you agree or disagree with the following statements.: I can easily access information about employee benefits, and I understand all the available options. (Strongly Agree)	I can easily access information about employee benefits, and I understand all the available options. (Agree)	I can easily access information about employee benefits, and I understand all the available options. (Neutral)	I can easily access information about employee benefits, and I understand all the available options. (Disagree)	I can easily access information about employee benefits, and I understand all the available options. (Strongly Disagree)
Overall, I am satisfied with my salary and my benefits.	Overall, I am satisfied with my salary and my benefits. (Strongly Agree)	Overall, I am satisfied with my salary and my benefits. (Agree)	Overall, I am satisfied with my salary and my benefits. (Neutral)	Overall, I am satisfied with my salary and my benefits. (Disagree)	Overall, I am satisfied with my salary and my benefits. (Strongly Disagree)

How would you rate the sick day policy?

Extremely Fair Very Fair Fair Slightly Fair Not Fair

Do you have any other feedback/suggestions regarding your employee benefits?