Health Scheme Survey


Please take a moment to let us know your opinion of the benefits program at (company name).

1Length of service:*


3Family status


4How long have you been a member of the company health scheme?*

5WIth regards to medical benefits, what do you see as your most important requirements?

Write your comment within 500 characters.

6In the past 12 months, how many visits did you make for yourself to a doctors's surgery, clinic, or hospital emergency room? (Do not include overnight hospital stays or dentist visits.)*

7Overall, how satisfied are you with your current medical plan in terms of the:

Very satisfied Satisfied Neutral Dissatisfied Very dissatisfied
7.1) Overall quality of service
7.2) Types of services covered by the health scheme
7.3)Administration by the Human Resources department
7.4) Administration by the insurance company?
7.5) Cost to you
There was a problem submitting your form!   Please check that all questions have been answered correctly and try again.