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

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

satisfaction/extent to which company provides

cash benefits by employee referral

Questions to the employees (subjective) Organization Age Gender Marital Status Level- Junior/Middle/Senior Location Designation Previous Employer(s) Reasons for leaving previous employer: Monthly: 1. 2. 3. 4. 5. Basic DA Education Conveyance 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