Benefits Enrollment Survey

Benefits Enrollment Survey — Form Fields

This surveys template includes 5 fields. Survey employees about their benefits preferences and satisfaction ahead of open enrollment. Free to customize and use on ZenBuild.

• Overall satisfaction with current benefits package (rating, required) — 1 = Very Dissatisfied, 5 = Very Satisfied
• Which benefits are most important to you? (checkboxes, required) — options: Health insurance, Dental & vision, 401(k) / retirement, Paid time off, Mental health / wellness, Life / disability insurance, Education / tuition reimbursement, Flexible spending (FSA/HSA) — Select your top 3.
• Do you understand how to use your current benefits? (multiple choice, required) — options: Yes, very well, Somewhat, No, I need more info
• Are you planning to make changes during open enrollment? (multiple choice, required) — options: Yes, No, Unsure
• What benefits would you like to see added? (long text, optional)