Employee Benefits Survey

To help us provide benefits that meet your needs, please complete this survey and return it to [Employee Name] in Human Resources by [click to select date].

Statement	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
Health Benefits
I am satisfied with my health plan options.
I am satisfied with my dental plan options.
I am satisfied with my vision plan options.
I am satisfied with my long-term disability insurance.
I am satisfied with my short-term disability insurance.
I am satisfied with my options for life insurance.
Overall, I am satisfied with my health benefits.
Financial Benefits
I am satisfied with my retirement plan.
I am satisfied with my salary.
I am satisfied with the Employee Stock Purchase Program.
I am satisfied with my opportunities for promotion, raises, and bonuses.
Overall, I am satisfied with my financial benefits.
Paid Time Off
I am satisfied with the number of vacation, sick, and personal days that I receive.
Overall, I am satisfied with my paid time off.
Additional Benefits
I am satisfied with my continuing education and training opportunities.
I am satisfied with my tuition reimbursement options.
Overall, I am satisfied with my additional benefits.
Overall
I understand my benefit options.
I know where to find information about my benefits.
I know whom to call if I have questions about my benefits.
Overall, I am satisfied with my employee benefits.
Additional Comments: