Sample Employee Benefits Survey

33% of survey complete.

ABC Company strives to provide useful, valuable, comprehensive, and affordable benefit programs for our employees. Each year, we review our current programs- particularly our health plan to ensure they live up to these goals and are meeting our employees' needs. We are only investigating all of our options. We have not, and do not necessarily plan to make a change. Please take a few moments to complete this confidential survey with your spouse and help us with our annual benefits review process. Your input is very important to us.

Question Title

* 1. How much do you believe is the annual cost of an employee's health insurance.

$500 - $1,000

$1,000 - $3,000

$3,000 - $6,000

$6,000 +

Question Title

* 2. How would you rate the information you receive from ABC Company about your benefit plans?

Excellent

Above Average

Average

Below Average

Poor

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* 3. What is your preferred method for receiving benefits communication?

Written material

Easy to access Web site

Slide or video presentations

Employee meetings

E-mail

Other- please explain

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* 4. When you want detailed information about how your benefits work, where would you turn? Please rank your answers as 1 being first place you would turn and 4 being the last place you would turn.

	1	2	3	4
Human Resources	Human Resources 1	Human Resources 2	Human Resources 3	Human Resources 4
Insurance Broker	Insurance Broker 1	Insurance Broker 2	Insurance Broker 3	Insurance Broker 4
Benefits Booklet	Benefits Booklet 1	Benefits Booklet 2	Benefits Booklet 3	Benefits Booklet 4
Group Marketing Services	Group Marketing Services 1	Group Marketing Services 2	Group Marketing Services 3	Group Marketing Services 4

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* 5. How well do you currently understand how your benefits work? 1 being very well and 5 being not at all.

	1	2	3	4	5
Benefits	Benefits 1	Benefits 2	Benefits 3	Benefits 4	Benefits 5

Question Title

* 6. Which benefits are most important to you? Rank the following benefit plans in order of importance, with number 1 being most important, and number 5 being least important.

	1	2	3	4	5
Health/Medical Plan	Health/Medical Plan 1	Health/Medical Plan 2	Health/Medical Plan 3	Health/Medical Plan 4	Health/Medical Plan 5
Dental Plan	Dental Plan 1	Dental Plan 2	Dental Plan 3	Dental Plan 4	Dental Plan 5
Precription Plan	Precription Plan 1	Precription Plan 2	Precription Plan 3	Precription Plan 4	Precription Plan 5
Wellness Plan	Wellness Plan 1	Wellness Plan 2	Wellness Plan 3	Wellness Plan 4	Wellness Plan 5
Other*	Other* 1	Other* 2	Other* 3	Other* 4	Other* 5

Please specify other