PART ONE

1) How many employees do you currently have active in your company?

less than 25
26 - 50
51 - 100

101 - 249
250 - 499
500 or more

2) How many federal employee identification numbers (FEIN) do you have?

1 to 3
More than 3

3) In how many states do you have employees working?

1 to 10
11 to 25
26 to 50

USA
Canada
Other (list countries)

5) Please identify your current areas of responsibility: (check all that apply)

HR Administration
Payroll
Benefits
Recruiting

Finance
Technology
All of these
Other

6) What do you consider the primary areas needing improvement in your company?

7) How does your company currently handle HR functions?

   These HR functions are managed in-house (check all that apply)

Payroll
Insurance benefits
Retirement benefits

Human resource management
Safety

   These HR functions are outsourced (check all that apply)

Payroll
Insurance benefits
Retirement benefits

Human resource management
Safety

8) What was the primary reason for outsourcing any of these functions?

Better technology (flexibility, quicker, etc.)
Reduce internal costs
Access to expertise not available in-house

9) Please check all your current benefit offerings

Medical
Dental
Employee Life Insurance
Flexible Spending Accounts (125/129)

Health Savings Accounts (HSA)
Short Term Disability
Long Term Disability
Other

10) When is your next benefits renewal date?

11) Please list additional benefits you'd like to offer:

12) Does your company use a time and attendance or production tracking system?

   Time and Attendance

Manual
Electronic

   Production Tracking

Manual
Electronic

13) Currently, how does your company share employee data? (such as payroll information, benefit selections, performance reviews, employee licensures, education certificates, training or personal information)

Back and forth by hand via paper files
Electronically in a single place
Electronically in several places
Each dept manages their own data
Other

PART TWO

Name:

Title:

Company:

Email Address:

Phone: