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Surveys
2013
August
B
Benefits Survey
Benefits Survey
Employee Health and Wellness Survey
0%
Exit Survey
Your health and well-being are important to this company. Our health insurance renewal with our current insurance provider takes place in January and we will be receiving competitive bids from insurance carriers to offer the best and most cost effective program to our employees and their families. A small part of well-being is physical fitness. We want to ensure that we offer equipment and options that are attractive so that the onsite fitness center meets the needs of employees at all fitness levels. Your feedback is important to this process. Please take a few minutes to answer this survey by October 31,2014.
Type of health coverage elected?
Single
Employee+Spouse
Employee+Child(ren)
Family
None - other coverage
None - cannot afford
None - other
I am happy with our current network of doctors/hospitals through the current provider:
Strongly agree
Somewhat agree
Neutral
Somewhat disagree
Strongly disagree
Approximate dollars you h ave paid out-of-pocket this calendar year for health claims (office visit co-pays, deductibles, co-insurance and prescription costs):
$0 to $500
$501 to $1,000
$1,001 to $1,500
$1,501 to $2,000
$2,001 or more
Please rank (1-5) the importance to you regarding your health insurance (Rank 1 through 5, 1 being most important, 5 being least important):
Cost of health insurance premiums per paycheck
-- Select --
1
2
3
4
5
Out-of-pocket costs of claims (deducible, office co-pays, co-insurance, Rx co-pays)
-- Select --
1
2
3
4
5
Network of doctors/hospitals
-- Select --
1
2
3
4
5
Customer service support on claims questions
-- Select --
1
2
3
4
5
Timeliness of claims processing
-- Select --
1
2
3
4
5
How do you feel about the following benefits?
Very Unsatisfied
Unsatisfied
Neutral
Satisfied
Very Satisfied
N/A
401(k)
Dental insurance
Vision insurance
Basic life insurance
Supplemental life insurance
Short term disability
Long term disability
PTO
Would you be interested in any of the following benefits?
Cancer insurance
Accident policy
Hospital indemnity
Pet insurance
Health savings account
Other
Do you use the onsite fitness center?
Yes
If not, why?:
What equipment do you use?
N/A
Walking Path
Treadmill
Elliptical
Stair climber
All-in-one strength training system
Hand weights
Other
Is there additional equipment you would like to see added to the fitness center? If so, what?
Would you like to participate in a group fitness class? If so, which classes interest you?
Yoga
Cardio
Boot camp
Zumba
Walking
Other:
2013 Health and Wellness Survey
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