Sample EmployeeSurveys.com Benefits Survey
 

Please take a few minutes to complete this survey. Your specific answers will be completely anonymous, but your views, in combination with those of others, are extremely important. To ensure your anonymity, Robotic Pet Design retained the EmployeeSurveys.com to design the survey, tabulate the results, and interpret the findings.

1.
Overall, how satisfied are you with Robotic Pet Design’s benefits package?(Required)

1 2 3 4 5
2.
Overall, how would you rate the level of enthusiasm you feel toward coming to work and doing your best every day at Robotic Pet Design?

1 2 3 4 5 6 7

In each of the following sections, you will be asked to rate your level of satisfaction with different components of the benefits package at Robotic Pet Design.  If you feel you do not have enough knowledge to answer a particular question, please feel free to skip it.

3.
Overall Issues

  Disagree Strongly Disagree Somewhat Neutral Agree Somewhat Agree Strongly
My understanding the benefits package
The extent of benefit communications provided by Robotic Pet Design
The clarity of the benefit communications
Flexible Spending Account (FSA)
4.
Medical Benefits

  Very Dissatisfied Somewhat Dissatisfied Neutral Somewhat Satisfied Very Satisfied
Medical benefit plan choices offered by Robotic Pet Design
Medical benefit plan I selected (my plan)
Monthly cost I pay for my plan (the amount deducted from your pay)
Deductible of my plan (the out-of-pocket amount you must pay annually directly to medical providers)
The co-pay amount of my plan
Healthcare reimbursement account
My plan’s choice of physicians
My plan’s choice of hospitals/clinics
The prescription drug coverage
The critical illness coverage
The cancer care coverage
4c.
Do you have any comments about the benefits/issues listed above? If so, please name the benefit or issue and type your comments below.

5.
Other Health-related Benefits

  Very Dissatisfied Somewhat Dissatisfied Neutral Somewhat Satisfied Very Satisfied
5c.
Do you have any comments about the benefits/issues listed above? If so, please name the benefit/issue and type your comments below.

6.
Other Insurance

  Very Dissatisfied Somewhat Satisfied Neutral Somewhat Satisfied Very Satisfied
Life insurance benefits
Accidental injury coverage
Short-term disability insurance
Long-term disability insurance
Accident insurance
Long-term care insurance
6c.
Do you have any comments about the insurance benefits listed above? If so, please name the benefit and type your comments below.

7.
Time-off/Scheduling-related Benefits

  Disagree Strongly Disagree Somewhat Neutral Agree Somewhat Agree Strongly
Paid-time-off (PTO) benefits
Amount of vacation
Vacation vesting period
Ease of scheduling vacation days
Number of sick days provided
Ability to take sick days without negative consequences
Holidays provided by Robotic Pet Design
Flexible hours
Telecommuting policy
Family leave
Bereavement leave
Maternity leave
Paternity leave
7c.
Do you have any comments about the benefits/issues listed above? If so, please name the benefit/issue and type your comments below.

8.

Retirement Benefits (References to 403 (k) or 403 (b) would be changed to match the specific client's plan)


  Very Dissatisfied Somewhat Dissatisfied Neutral Somewhat Satisfied Very Satisfied
8c.
Do you have any comments about the benefits/issues listed above? If so, please name the benefit/issue and type your comments below.

9.
Other Financial Benefits

  Very Dissatisfied Somewhat Dissatisfied Neutral Somewhat Satisfied Very Satisfied
Profit sharing plan
Stock options
Thrift savings account
Financial planning service
Subsidized commuting
Paid parking
Child care
Tuition reimbursement
9c.
Do you have any comments about the benefits/issues listed above? If so, please name the benefit/issue and type your comments below.

10.
If you have any other comments about the benefits package at Robotic Pet Design, please make them in the space below.

The following questions are to better understand how different groups of employees feel about benefits at Robotic Pet Design.  They will not be used to try to identify any individual.

However, if you feel uncomfortable about answering any of them, do not do so.

Whether or not you leave any questions blank, please make certain to hit the "submit" button at the bottom of this page when you have answered as many questions as possible.

11.
How long have you worked for Robotic Pet Design?

12.
What is your age?

13.
What is your gender?

14.
Including yourself, how many people live in your household?

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