모든 템플릿

Health Plan Enrollment Experience Survey

Evaluates the clarity, ease, and satisfaction of employer-sponsored health plan enrollment. Designed for HR and benefits teams seeking to identify communication gaps, decision-support needs, and friction points during open enrollment or new-hire onboarding.

샘플 질문

템플릿에 포함된 내용을 미리 확인해 보세요. 모든 질문은 설문 공개 전에 자유롭게 수정할 수 있습니다.

질문 27개 · 약 12분
Q01
메시지

Welcome! This brief survey asks about your most recent health plan enrollment experience. It should take about 12 minutes. Your participation is entirely voluntary, and you may stop at any time. There are no right or wrong answers — we are interested in your honest opinions. All responses are confidential and will be reported only in aggregate to help improve future enrollment experiences.

Q02
객관식

In the last 12 months, did you select or review a health plan (during open enrollment or as a new hire)?

  • Yes, during the most recent open enrollment
  • Yes, as a new hire in the last 12 months
  • No, I did not review or enroll
Q03
객관식

What was the main reason you did not review or enroll in a health plan this cycle?

  • I was already satisfied with my current coverage
  • Covered under a spouse/partner or parent
  • Not eligible this cycle
  • Missed the deadline
  • Planning to enroll later due to a qualifying life event
  • Other (please specify)
Q04
객관식

Which information sources did you consult before or during enrollment? Select all that apply.

  • Benefits guide or PDF
  • Company benefits site or intranet
  • Online plan comparison tool
  • Recorded webinars or videos
  • Live info session or town hall
  • HR or benefits help desk
  • Insurance carrier websites
  • Family, friends, or colleagues
  • None of the above
  • Other (please specify)
Q05
의견 척도

Overall, how easy or difficult was it to find the information you needed during enrollment?

척도: 17
최소:Very difficult최대:Very easy
Q06
객관식

Which interactive support channels did you use during enrollment? Select all that apply.

  • HR or benefits email or chat
  • Phone support
  • Live info session or office hours
  • Recorded webinars or help videos
  • Plan comparison or decision-support tool
  • None of the above
  • Other (please specify)
Q07
의견 척도

Overall, how satisfied or dissatisfied were you with your enrollment experience?

척도: 17
최소:Very dissatisfied최대:Very satisfied
Q08
객관식

What is your employment status with the company?

  • Full-time
  • Part-time
  • Contingent/contract
  • Intern
  • Other
  • Prefer not to say
Q09
메시지

Thank you for your feedback! Your input will help us make future enrollments clearer and easier.

Q10
장문형

What, if anything, would have made you more likely to review or enroll in a health plan?

Q11
순위 매기기

Please rank the following factors by how important they were in your plan decision. Drag the most important to the top.

  1. Monthly premium
  2. Deductible
  3. Out-of-pocket maximum
  4. Provider network
  5. Prescription coverage
  6. HSA/HRA eligibility
  7. Employer contributions
드래그하여 순위 지정
Q12
의견 척도

How clear was the information provided about plan cost breakdowns (premiums, deductibles, copays)?

척도: 17
최소:Not at all clear최대:Extremely clear
Q13
의견 척도

How helpful was the support you received during enrollment?

척도: 17
최소:Not at all helpful최대:Extremely helpful
Q14
의견 척도

How likely are you to recommend this company's enrollment process to a colleague?

척도: 17
최소:Not at all likely최대:Extremely likely
Q15
객관식

How long have you been with the company?

  • Under 6 months
  • 6–12 months
  • 1–3 years
  • 3–5 years
  • Over 5 years
  • Prefer not to say
Q16
객관식

What would help you feel more prepared for a future enrollment? Select all that apply.

  • Short plan comparison checklist
  • Plain-language explainer on key terms
  • Cost calculator for typical scenarios
  • Live Q&A with the benefits team
  • One-page summaries for common situations (single, family, etc.)
  • Earlier reminders and clear timelines
  • Other (please specify)
Q17
의견 척도

How clear was the information provided about provider network coverage?

척도: 17
최소:Not at all clear최대:Extremely clear
Q18
객관식

What, if anything, made choosing a plan difficult? Select all that apply.

  • Too many plan choices
  • Benefits jargon was confusing
  • Costs were hard to estimate
  • Conflicting or inconsistent information
  • Not enough time to decide
  • Uncertain about my future healthcare needs
  • Website or tool issues
  • Couldn't confirm my provider was in network
  • Nothing — the process was straightforward
  • Other (please specify)
Q19
장문형

What could we improve to make the next enrollment clearer or easier?

Q20
객관식

Where are you primarily located?

  • United States
  • Canada
  • United Kingdom
  • European Union
  • India
  • Other
  • Prefer not to say
Q21
의견 척도

How clear was the information provided about HSA or HRA eligibility and employer contributions?

척도: 17
최소:Not at all clear최대:Extremely clear
Q22
AI 인터뷰

Based on your responses, we'd like to explore a few of your experiences in more detail. An AI moderator will ask you 1–2 brief follow-up questions.

Q23
객관식

What is your age range?

  • 18–24
  • 25–34
  • 35–44
  • 45–54
  • 55–64
  • 65 or older
  • Prefer not to say
Q24
의견 척도

How clear were the enrollment deadlines and steps you needed to complete?

척도: 17
최소:Not at all clear최대:Extremely clear
Q25
객관식

Which coverage tier best describes your current enrollment?

  • Not enrolled in a company plan
  • Self only
  • Self + spouse/partner
  • Self + child(ren)
  • Family (self + spouse/partner + child[ren])
  • Prefer not to say
Q26
의견 척도

How confident were you in your ability to compare plan options and choose the best fit?

척도: 17
최소:Not at all confident최대:Extremely confident
Q27
의견 척도

How well did you understand the key trade-offs between plan options (e.g., lower premiums vs. higher deductibles)?

척도: 17
최소:Did not understand at all최대:Completely understood

포함된 기능

  • AI 후속 질문

    정형화된 설문이 놓치는 세부 내용을, 주관식 답변에 맞춰 AI가 심층 질문으로 끌어냅니다.

  • 주의력 확인 장치

    성의 없는 답변과 저품질 응답자를 걸러내는 내장 안전장치입니다.

  • AI가 작성한 문안

    문구, 질문 순서, 분기 로직까지 AI가 연구 목표에 맞춰 작성합니다.

  • 자동 리포트

    응답이 모이면 주요 주제, 인용문, 이해하기 쉬운 요약이 자동으로 작성됩니다.

다른 서비스와 비교

다른 설문 도구의 가장 유사한 템플릿을 검토했습니다. 그 도구들이 잘하는 점과, 이 템플릿이 한발 더 나아가는 지점을 정리했습니다.

이 템플릿을 선택하는 이유

  • Combines closed-ended opinion-scale ratings on cost clarity, network coverage, HSA/HRA eligibility, and deadlines with an open-text question asking what would improve the next enrollment cycle.
  • Uses a ranking question to surface which decision factors (e.g., premiums vs. coverage trade-offs) actually mattered most to employees, not just satisfaction scores.
  • Includes an AI follow-up interview that adapts based on each respondent's prior answers, letting HR teams probe specific friction points instead of relying only on static multiple-choice options.
  • Segments results by employment status, tenure, location, age range, and coverage tier so HR/benefits teams can identify communication gaps for specific employee groups.

Jotform

Benefits Open Enrollment Form Template

This is a form for administering open enrollment elections (plan selection, dependent info, signatures) rather than a survey measuring the enrollment experience itself. It's fielding-ready as an intake form but doesn't ask employees to evaluate clarity, satisfaction, or decision difficulty. Useful for the transactional side of enrollment, not for feedback collection.

잘하는 점

  • Purpose-built for capturing plan elections and dependent/beneficiary data during enrollment
  • Drag-and-drop form builder with e-signature and conditional fields typical of Jotform templates
  • Likely integrates with Jotform's broader HR form ecosystem

아쉬운 점

  • No mechanism to measure satisfaction, clarity, or friction points in the enrollment process
  • Static form fields only — no adaptive follow-up questioning based on responses
  • No built-in scoring or reporting on communication gaps or decision-support needs

SurveyMonkey

CAHPS® Health Plan Survey 5.0

This is a standardized CAHPS instrument measuring member experience with a health plan (getting care, customer service, plan information) rather than the enrollment/decision process specifically. It's a recognized, fielding-ready template for regulatory or benchmarking purposes, but it isn't designed around open enrollment clarity or plan-selection friction. Best suited to health plans and payers, not employer HR/benefits teams running enrollment.

잘하는 점

  • Based on a standardized, widely recognized CAHPS methodology used in healthcare quality reporting
  • Fielding-ready survey template hosted on an established survey platform
  • Useful for benchmarking against other CAHPS-based results

아쉬운 점

  • Not focused on open enrollment or plan-selection experience — it targets ongoing care/member service experience
  • Static question set with no adaptive AI follow-up to probe individual pain points
  • No transparent prompt or methodology disclosure for any AI-driven analysis

QuestionPro

Health insurance coverage survey questions + sample questionnaire template

This page presents sample questionnaire content and question ideas for health insurance coverage satisfaction rather than a single ready-to-field enrollment-specific survey. It's a useful reference for question wording but reads more like a guide/question bank than a packaged enrollment-experience instrument. Employer HR teams would need to assemble and customize it themselves.

잘하는 점

  • Broad bank of sample questions covering coverage satisfaction topics
  • Backed by QuestionPro's established survey platform and distribution tools
  • Flexible starting point for teams wanting to build a custom insurance satisfaction survey

아쉬운 점

  • Reads as a question-bank/guide rather than a single deployable enrollment-experience survey
  • No adaptive AI interviewing or voice interview option to follow up on low ratings
  • No automated per-response quality scoring or auto-generated report shown

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