Free Benefits Evaluation HR Template

BENEFITS EVALUATION

Employee Information 

Employee Name:

John Smith

Employee ID:

JS12345

Department:

Sales Department

Position:

Sales Executive

Date of Hire:

January 12, 2050

Benefit Options

Please evaluate the following benefit options on a scale of 1 to 5, with 1 being "Strongly Disagree" and 5 being "Strongly Agree."

 

Benefit Option

Rating (1-5)

Comments

Health Insurance

4

The health insurance coverage is comprehensive and easy to use.

Dental Insurance

3

Dental coverage is decent, but it could offer more coverage for orthodontic work.

Vision Insurance

5

Vision insurance is excellent, covers my needs perfectly.

Retire Plan (401(k))

5

The 401(k) plan is fantastic with a generous company match.

Paid Time Off (PTO)

4

PTO is good, but it would be great to have a few more days annually.

Flexible Work Schedule

5

I appreciate the flexibility to adjust my work hours when needed.

Employee Assistance Program

4

The EAP has been helpful when dealing with personal challenges.

Wellness Programs

3

The wellness programs are okay, but I'd like to see more variety and engagement.

Tuition Reimbursement

5

Tuition reimbursement is fantastic and has allowed me to pursue further education.

Commuter Benefits

4

Commuter benefits help me save on transportation costs, which is great.

Life Insurance

5

The life insurance coverage is excellent and provides peace of mind.

Overall Satisfaction

Please rate your overall satisfaction with the company's benefits package on a scale of 1 to 5, with 1 being "Very Dissatisfied" and 5 being "Very Satisfied."

 

Overall Satisfaction Rating: _______

Additional Comments

Please provide any additional comments or suggestions regarding our benefits package.

Overall, the benefits package is satisfactory, but considering options for mental health support could enhance employee well-being.

Employee Signature

I have reviewed and completed this Benefits Evaluation Form.

 

Employee Signature: _______________________ Date: ________

 

HR Manager's Comments

The feedback provided by employees is valuable in assessing our benefits package. We'll analyze their input to enhance offerings and address concerns. It's essential to maintain a competitive benefits package to attract and retain top talent in our organization.

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