1. OVERTIME: |
| Does your company have mandatory overtime? |
Yes No |
1. SHUT DOWN: |
| Does your company shut down any time during the year? |
Yes No |
| If yes, is it paid? |
Yes No |
3. COST OF LIVING ALLOWANCE: |
| Does your company provide a cost of living allowance? |
Yes No |
| If yes, list amount and frequency. |
Amount: Frequency: |
4. BONUSES: |
| Does your company give bonuses? |
Yes No |
| If yes, indicate frequency and criteria. |
| Frequency: |
Yearly Quarterly Monthly Other: |
| Criteria: |
|
5. 401(k) / 403(b) PLAN: |
| Does your company offer? |
401(k) 403(b) None |
| If yes, list the following: |
| Vesting Period: |
|
| Company Match%: |
|
| At What Cost to Each Employee? |
|
6. PENSION PLAN: |
| Does your company have a pension plan? |
Yes No |
| If yes, list the following: |
| Vesting Period: |
|
| Years of Full Benefits: |
|
| At What Cost of Each Employee? |
|
7. AD&D INSURANCE: |
| Does your company offer AD & D insurance? |
Yes No |
| If yes, what amount of coverage is offered? |
|
| What, if any, is the cost to the employee? |
|
8. SHORT TERM DISABILITY: |
| Does your company offer short term disability? |
Yes No |
| What, if any, is the cost to the employee? |
|
9. LONG TERM DISABILITY: |
| Does your company offer long term disability? |
Yes No |
| What, if any, is the cost to the employee? |
|
10. HEALTH INSURANCE: |
| Does your company provide health insurance? |
Yes No |
| If yes, what type of insurance is provided in network? |
| HMO PPO Traditional Other: |
| What type of coverage is offered? (Example: 80/20 in network & 70/30 out of network) |
|
| What is the deductible? (Example: $100 single/$500 family) |
|
| What, if any, is the cost to the employee? (Example $5 single & $20 family weekly) |
|
| Does your insurance provider offer a prescription card? |
Yes No |
11. DENTAL INSURANCE: |
| Does your company offer dental insurance in network? |
Yes No |
12. VISION INSURANCE: |
| Does your company offer vision insurance? |
Yes No |
| What, if any, is the cost to the employee? (Example $5 single & $20 family weekly) |
|
13. SICK DAYS: |
| Does your company provide sick days? |
Yes No |
| If yes, how many? |
|
14. PERSONAL DAYS: |
| Does your company provide personal days? |
Yes No |
| If yes, how many? |
|
15. ATTENDANCE POLICY: |
| Does your company have an attendance policy? |
Yes No |
| If yes, list the guidelines? |
|
| Does your company provide incentives for perfect attendance? |
Yes No |
16. INTRODUCTORY/PROBATIONARY PERIOD: |
| Does your company have an introductory/probationary period? |
Yes No |
| If yes, what is the time period? |
| 3 months 6 months Other: |
17. EDUCATION REIMBURSEMENT: |
| Does your company have an education reimbursement policy? |
Yes No |
| If yes, list amount reimbursed |
|
| Passing grade required? |
Yes No |
| What is covered? |
Books Tuition Other |
18. SMOKING POLICY: |
| Does your company have a smoking policy? |
Yes No |
19. SUBSTANCE ABUSE POLICY: |
| Does your company have a substance abuse policy? |
Yes No |
| Does your company do random drug testing? |
Yes No |
| Does your company automatically require a drug test for employees in the event of an accident in the work place? |
Yes No |
20. APPLICANT TESTING: |
| Does your company test applicants before hiring? |
Yes No |
| Does your company do a pre-employment drug screen? |
Yes No |
EDC USE ONLY: |
| Did you downsize this year? |
Yes No |
| If so, how many positions? |
|
| Will you be adding new jobs in 2004? |
Yes No |
| If so, how many positions? |
|
| Does your company have a union? |
Yes No |
| *Note: This is only for EDC use. Not to be included in survey results. |
| |
