AVT Employee Benefits Survey
All questions must be answered except for the Name field.
Email
This field is for validation purposes and should be left unchanged.
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)
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November 7th, 2014
by
The Diamond Benefit Group