EMPLOYEE BENEFITS SURVEY

Rank on a scale of 1 to 5( 1 being lowest and 5 highest, the importance to the following
you give and to the extent company gives)

Importance to you satisfaction/extent to

which company provides
Location
Job security
Growth/ promotions
Working conditions
work/life balance
Good supervisor
Higher salary than competitors
Pay rise based on seniority
Pay rise based on individual performance

Pay rise based on team performance

Retirals/pension
Medical benefits to you and your family

Insurance/death benefits
sponsored vacations
ESOPs
Overtime pay
Flexible benefits option
Performance appraisal process
Training
Free/subsidized accommodation
Subsidized food/canteen facilities
Furniture allowance
Entertainment allowance
Car allowance
Short term rewards
Long term rewards
Flexi work timings
Take home salary
sponsorship to membership of professional
bodies

club memberships
cash benefits by employee referral

Questions to the employees (subjective)

• Organization
• Age
• Gender
• Level- Junior/Middle/Senior
• Location
• Designation
• Previous Employer(s)
• Reasons for leaving previous employer:

• Monthly:

1. Basic
2. DA
3. Education
4. Conveyance
5. Other monthly allowance, please mention

• Approx take home salary per month

• Annual:
1. LTA
2. Medical
3. Insurance
4. Performance Pay
5. Other annual component, please specify

• Retirals:
1. Superannuation
2. PF
3. Gratuity

• Total CTC
 • By how much the approx salary goes up on promotion

• Other short term ( < 2 year) benefits in your organization

• Other long term benefits(2-5 yrs)

• Other benefits desired:

• Companies you perceive to have best benefits and rewards policies

and reasons?

• Things you would like to change in your organization?

• 3 factors in order of importance you look for while joining an

organization.

• Are you fully aware about the several rewards and benefits you get?

• Are the rewards and compensation commensurate to your efforts ?

• Other suggestions to retain talent

PS: Be frank in your opinion and provide as much detail about benefits as you can. If
certain information are confidential and you would not like to share, then leave in blank.
Rename the form by adding your organization name