Q01
Long Text
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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.
Sample questions
A preview of what’s in the template. Every question is editable before you launch.
27 questions · ~4 min
Q02
Multiple Choice
In the last 12 months, did you select or review a health plan (during open enrollment or as a new hire)?
Q03
Multiple Choice
What was the main reason you did not review or enroll in a health plan this cycle?
Q04
Multiple Choice
Which information sources did you consult before or during enrollment? Select all that apply.
Q05
Long Text
Overall, how easy or difficult was it to find the information you needed during enrollment?
Q06
Multiple Choice
Which interactive support channels did you use during enrollment? Select all that apply.
Q07
Long Text
Overall, how satisfied or dissatisfied were you with your enrollment experience?
Q08
Multiple Choice
What is your employment status with the company?
Q09
Long Text
Thank you for your feedback! Your input will help us make future enrollments clearer and easier.
Q10
Long Text
What, if anything, would have made you more likely to review or enroll in a health plan?
Q11
Long Text
Please rank the following factors by how important they were in your plan decision. Drag the most important to the top.
Q12
Long Text
How clear was the information provided about plan cost breakdowns (premiums, deductibles, copays)?
Q13
Long Text
How helpful was the support you received during enrollment?
Q14
Long Text
How likely are you to recommend this company's enrollment process to a colleague?
Q15
Multiple Choice
How long have you been with the company?
Q16
Multiple Choice
What would help you feel more prepared for a future enrollment? Select all that apply.
Q17
Long Text
How clear was the information provided about provider network coverage?
Q18
Multiple Choice
What, if anything, made choosing a plan difficult? Select all that apply.
Q19
Long Text
What could we improve to make the next enrollment clearer or easier?
Q20
Multiple Choice
Where are you primarily located?
Q21
Long Text
How clear was the information provided about HSA or HRA eligibility and employer contributions?
Q22
AI Interview
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
Multiple Choice
What is your age range?
Q24
Long Text
How clear were the enrollment deadlines and steps you needed to complete?
Q25
Multiple Choice
Which coverage tier best describes your current enrollment?
Q26
Long Text
How confident were you in your ability to compare plan options and choose the best fit?
Q27
Long Text
How well did you understand the key trade-offs between plan options (e.g., lower premiums vs. higher deductibles)?
What’s included
AI follow-ups
Adaptive probes on open-ended answers that pull out detail a static form would miss.
Attention checks
Built-in safeguards against rushed answers and low-quality respondents.
AI-drafted copy
Wording, ordering, and branching written by the AI — tuned to your research goal.
Auto report
Themes, quotes, and a plain-English summary write themselves once responses come in.
Ready to launch?
Open this template in the editor. Every part is yours to change before the first respondent sees it.