AVT Employee Benefits Survey

Form data will be submitted via a secure connection. All questions must be answered except for the Name field.

1. Overall how satisfied are you with our employee health benefits?*
- Extremely Satisfied
- Somewhat Satisfied
- Satisfied
- Somewhat Dissatisfied
- Extremely Dissatisfied
- N / A
2. What is your opinion of the current employee health contributions*
- Fair and appropriate for the benefits offered
- Too high for the benefits offered
- Too low for the benefits offered
- I am not sure
- N / A
3. Please tell us if your contributions or the benefits are more important to you.*
- I would be willing to pay higher premiums to maintain my current benefits
- I would be willing to increase my deductible and copays to lower my contributions
- I am not sure
- N / A
4. Are you interested in a Health Savings Account (HSA)?*
- I am not familiar with an HSA
- I am familiar with an HSA
- I would not consider an HSA
- I am not sure
5. Would you be interested in purchasing any of the following supplemental insurance benefits? (check all that apply)*
- Accident
- Cancer
- Long Term Care
- Critical Illness (specified disease)
- Hospital Income (medical bridge)
- I am not interested in any supplemental insurance benefits
- I am not sure
6. Please tell us which category best fits your department.*
- Sales & Marketing
- Research & Development
- Customer Serivce
- Manufacturing
- Office / Administration
Any Additional Comments?
Name (optional)
Comments
This field is for validation purposes and should be left unchanged.

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November 7th, 2014 by The Diamond Benefit Group

Any Additional Comments?