Employee Benefits Survey

To submit this survey, please print the page, answer the questions below, and send by mail or fax.

1. Are you satisfied with your current medical plan? Dental Plan? 401 (k) plan?

a. Great

b. Satisfactory

c. Somewhat Satisfactory

d. Unsatisfactory

e. Other please provide an explanation: ____________________________________________

2. What would you change about any of the above-mentioned benefits?

3. Which plans listed above are you currently participating in?

a. Medical

b. Dental

c. Insurance

d. 401(k)

e. All of the above

f. Other plans please explain:_________________________________

 

4. Are there any areas that you perceive to be particularly strong about your current plan?

5. Are there any areas that you perceive to be particularly weak about your current plan?

6. What is more important to you ...a rich benefits package or the amount deducted from your paycheck to contribute to the cost of a benefits package? Why?

7. How is the service provided by the different vendors for the above mentioned plans?

a. Satisfactory

b. Somewhat Satisfactory

c. Unsatisfactory

d. Other please explain: ______________________________________