Benefit Survey

Our goal is to provide a positive experience for you when you join __CompanyName__ and beyond, and we would like to have your feedback regarding your onboarding, orientation, and on-the-job training experience. We will use this information to improve our systems processes for future new hires.

Please complete the anonymous survey electronically by XX Date. The data provided will be aggregated and will be treated as confidential.

Using a scale of 1-5, with 5 being very satisfied and 1 being very dissatisfied, please select one response for each statement. Feel free to make comments under each question.

    General

  1. How long have you worked at __CompanyName__?






  2. Do you work remote, hybrid or in an office?




  3. Do the employee benefits (Dental, Medical, Vision, STD, LTD, 401k, etc.) program adequately meet your needs?



  4. Are you currently enrolled in the employee medical plan?



  5. If married or in a domestic partner relationship, is your spouse/partner eligible for benefits from their own employer, and do they participate in those benefits?




    Healthcare Plan (Medical, Dental, Vision, Healthcare, Other)

  6. How satisfied with your medical plan coverage through __CompanyName__?




    If you are not satisfied, why not? (Select all that apply)

  7. Which plan are you enrolled in? (check all that apply)

  8. Are you currently enrolled in the employee dental plan?


    If you answered no, are you:




  9. Are you currently enrolled in the employee vision plan?


    If you answered no, are you:




  10. How satisfied with your vision plan coverage through __CompanyName__?




    If you are not satisfied, why not? (Select all that apply)

  11. I believe that the amount I currently contribute towards benefits coverage is fair given what I understand about the costs of healthcare in this country.



  12. I would be willing to contribute more in premiums (salary deductions) to improve the company's benefit programs.



  13. __CompanyName__ continues to review offering voluntary benefits. Please rate your interest in these voluntary programs. (1=Not interested, 10=Most interested)
    1 2 3 4 5 6 7 8 9 10
    Medical or Limited Purpose Flexible Spending Account
    Transit and/or Parking Flexible Spending Account
    Dependent Care Flexible Spending Account
    Accident
    Critical Illness
    Hospital
    Legal & Identity Theft
    LifeLock
    Pet Insurance
    Financial Wellness
    Other
    Bill Reduction Service
    Parental Support

  14. Did you know that all employees are able to utilize our Employee Assistance Program at no cost?



  15. Do you have enough information to understand the benefits of the Health Savings Account ("HSA")?



  16. Do you consider the Personal Time Off Program ("PTO") fair and competitive?



  17. Do you consider the paid company holidays fair and competitive?



  18. Would you like to see __CompanyName__ adopt a formal Wellness Program (health risk assessments, vaccination clinics, weight management programs and nutritional counseling, quit smoking programs, stress reduction, etc.)?



  19. The Company promotes work/life balance?



  20. How well do you currently understand how your benefits work?

  21. Are there any benefits you are interested in that are currently not offered by __CompanyName__?


    If you answered Yes, please explain:

    Retirement

  22. Do you participate in the 401(k) Plan?


    If not, what is the reason?



  23. How do you rank the 401(k) plan as a company provided benefit?




  24. Did you actively enroll or were you automatically enrolled?



  25. How do you feel about the plan's auto-enrollment feature?




  26. If you are participating in the plan, did you elect your investment?



  27. How do you feel about the investment options provided in the 401(k) plan (including the brokerage option)?



    If you have concerns, please explain:

  28. How do you feel about the educational meetings provided about the 401(k) plan (if you've attended any)?




  29. How do you feel about the resources provided by Empower Retirement on their website and via the call center?






  30. Is there anything else you would like to share about 401(k) plan?

    Communications

  31. Do you think you receive too little or too many benefits/401k related communications?




  32. How would you rate the information you receive about your benefit plans?






  33. What is your preferred method for receiving benefit communications?

  34. Do you have any comments, questions or concerns?
    Name:
    Date of Hire:
    Position:
    Department:

    Status of the Form

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