Employee Benefits Satisfaction Survey
Personal Information
Name
Department
Role/Title
Benefits Satisfaction
How satisfied are you with the following benefits?
Health Insurance
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
Retirement Plan
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
PTO/Vacation Days
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
Other Benefits
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
What employee benefits do you value the most?
Health Insurance
Retirement Plan
PTO/Vacation
Flexible Schedule
Remote Work
Other
Any suggestions for improvement?