Employee Satisfaction Survey

Please rate your Overall Satisfaction with [Company Names]'s benefits? Please use a 10-point scale where 1 is Not Satisfied and 10 is Extremely Satisfied.

Please explain your reason(s) for the overall benefits satisfaction rating.

Please rate your Satisfaction with [Company Names]'s Healthcare benefits? Please use a 10-point scale where 1 is Not Satisfied and 10 is Extremely Satisfied.

As a reminder, [Company Name] currently offers [Insurance Company] Health Insurance to employees.

Please add any other comments that you might have about [Company Name]'s Health Insurance.

Please rate your Satisfaction with [Company Names]'s Dental Care benefits? Please use a 10-point scale where 1 is Not Satisfied and 10 is Extremely Satisfied.

As a reminder, [Company Name] currently offers [Insurance Company] Dental Insurance to employees.

Were you able to find a Dentist that was within our dental plan's network?

Yes

No

Not applicable

Please add any other comments that you might have about [Company Name]'s Dental Insurance.

Please rate your Satisfaction with [Company Names]'s Vision plan? Please use a 10-point scale where 1 is Not Satisfied and 10 is Extremely Satisfied.

As a reminder, [Company Name] currently offers [Insurance Company] Vision Insurance to employees.

Our vision plan does not currently include advanced glaucoma screenings. If this type of screening was included in our vision plan, would you take advantage of this option?

Yes, with a $25 co-pay

Yes, with no co-pay

No, thank you

Please add any other comments that you might have about [Company Name]'s Vision Insurance.