Survey

Demo Version Only

1. Are you currently a Client or work for a employer plan administered by Stirling Benefit Plans?
                     yes
                     no
                     don't know

2. Is the ability to view your benefits online important?
                     Very Important
                     Important
                     Don't have internet access
                     Somewhat Important
                     Not at all important

3. The ability for me to view claims progress or pay dates on line is?
Not Important at all. | Very Important.
1 2 3 4 5 6 7

4. I have a good understanding of my existing employee plan.
Don't have a clue.  
I know everything I need
to about my benefits.
1 2 3 4 5 6 7

5. The benefits that are most important to me are? Please rank from most important being (1) to least important being (12).
Rank The Following Choices as > >
One answer in each row and column
1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th
Life Insurance
Accidental Death
Short Term Disability
Long Term Disability
Dependent Life Insurance
Basic Dental (Cleaning and Fillings)
Major Dental (Crowns, Bridges, Dentures)
Orthodontics
Extended Health (Hospital, Ambulance)
Travel Insurance
Drugs
Paramedical (Chiropractic, Physio, Massage Therapy)


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