Employee Benefits Survey Template

1. What is your current job title?

The answer should be a single choice:

1. Entry-Level
2. Mid-Level
3. Senior-Level
4. Managerial
5. Executive

2. What is your department?

The answer should be a single choice:

1. HR
2. IT
3. Marketing
4. Operations
5. Sales

3. What is your length of service with the company?

The answer should be a single choice:

1. Less than 1 year
2. 1-3 years
3. 3-5 years
4. 5-10 years
5. Over 10 years

4. How satisfied are you with the current health insurance plan offered by the company?

The answer should be a single choice:

1. Very Satisfied
2. Satisfied
3. Neutral
4. Dissatisfied
5. Very Dissatisfied

5. Do you feel that the retirement plan offered by the company is sufficient for your needs?

The answer should be a single choice:

1. Yes
2. No
3. Not Sure

6. How often do you use the paid time off benefits offered by the company?

The answer should be a single choice:

1. Rarely
2. Occasionally
3. Frequently
4. Almost Every Time

7. How satisfied are you with the work-life balance offered by the company?

The answer should be a single choice:

1. Very Satisfied
2. Satisfied
3. Neutral
4. Dissatisfied
5. Very Dissatisfied

8. Are there any benefits that you would like to see added to the current benefits package?

The answer should be a single choice:

1. Yes
2. No

9. Would you like to see any changes made to the current benefits package?

The answer should be a single choice:

1. Yes
2. No