*1.Company Name(Required.)

*2.How satisfied are you with your current healthcare benefits offering? (1 = Very Dissatisfied | 5 = Very Satisfied)(Required.)

1

2

3

4

5

*3.What is the biggest healthcare challenge facing your organization today?(Required.)

Rising Healthcare Costs

Employee Access to Care

Recruiting & Retention

Employee Utilization of Benefits

Administrative Burden

Other

*4.Have your healthcare costs increased over the past 24 months?(Required.)

Significantly

Moderately

Slightly

No Increase

Not Sure

*5.How important is improving employee healthcare access to your organization?(Required.)

Very Important

Important

Somewhat Important

Not Important

*6.Would you be interested in learning about alternative healthcare models that may reduce costs and improve employee access to care?(Required.)

Yes

Maybe

No

7.If you could improve one thing about your current healthcare strategy, what would it be?

1 / 1

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