Q1).

Name of your organization:

Q2). Number of employees in the organization:

 <50
 50-100
 100-150
 >150

Q3). Number of years of service:

 <2 years
 2-4 years
 >4 years

Q4). The main components of your salary include:

 Basic Salary
 HRA
 Conveyance Allowance
 Special Allowance

Q5). The salary figures :-

Cost To Company :
Take Home :
Benefits :
(not in cash)
Q6). The benefits section :-

TOTAL
(a) Number of paid holidays each year
(b) Maximum number of days that can be carried over to
the next year.
(c) Daily meal reimbursement (in Rs.)
(d) Standard mileage reimbursement
(e) Health Insurance
(f) Retiree health insurance pre-65 years years old
years of service
Rs.
(g) Retiree health insurance post-65 years years old
years of
service
Rs.

(h) Merit pay increase offered (yes/no)

if yes Amount

(i) Additional benefits (if any) Amount

Q7). How would you rate the benefits being offered to you?
Present Expected
• Company Home
• Company Car
• Loan Scheme
• Paid Vacation
• Medical Reimbursement
• Recreational Facilities
• Children’s Education
• Bill Reimbursement
• Daily Meal Reimbursement
• Health Insurance
• Driver Expenses and fuel
• Mobile/Residence Phone
• Additional Benefits (if any)
Q8). Does your company offer stock options to employees? (yes / no)

Q9). What are the criteria for incrementing the benefits package?

 Performance
 Seniority
 Some special contribution towards the overall growth of the organization

Q10). What extra benefits/perks you would like to receive in your compensation
package?

 Medical and life insurance scheme

 Company picnics
 Provision of mobile services
 Any other (Pls. Specify)