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Compensation Survey Questionnaire
Data Submission Form Instructions
Thank you for participating in our compensation survey. The enclosed survey is being sponsored by ABC
Company. All results will be kept confidential and all participants will receive a summary of the results.

The enclosed survey contains four sections. In the first section we ask for general company information. We
do ask that you provide both the name of the person filling out the survey and the name of the person who the
survey results should be sent to.

In the second section we ask you to provide some general information about your compensation and benefit
practices.

The next section “Job Matching Worksheet” provides a list of the survey jobs. For each survey job and
corresponding level please provide your company’s matching job. If at least 75% of the content of your
company’s job matches the survey job, then it is considered a good match. If not, please specify the major
differences in the Notes Regarding Match column.

Finally, a separate “Data Submission Form” should be completed for each job and each location where this
job exists (when the data is different by location). All annual wage data should be based on 40 hours/week
(2080 hours/year). Please make as many copies of the blank form as you need.
Data Submission Form Instructions (cont'd)
The completed the survey should be faxed or mailed, no later than January X, 2000 to the following address:




If you have any questions while completing this survey please contact:




Thank you again for your time and effort in completing this survey.
Company & Contact Information
Company Name:        ____________________________________

Location(s) Reported: ____________________________________




Contact Regarding Data Submittal:
Name and Address for Survey Results:




Name:
__________
__________
__

Title:
__________
__________
__

Phone
Number:
__________
__________
__

Fax Number:
__________
__________
__

E-mail:
__________
__________
__




Name:
_________
_________
_____
Compensation Practice and Policy Information
Please answer the following questions regarding your company’s compensation practice and policies.




Does your company utilize a broad band system? [ ] Yes [ ] No If yes, what is the band width?
______



Does your company utilize a traditional salary grade system? [ ] Yes [ ] No

If yes, please answer the following questions.



How is progression in the job grade determined? [ ] Time on job [ ] Merit [ ] Established steps [ ]
Other ________



How often is the salary structure reviewed? ____________________



When was the last time it was adjusted? ____________________
By what percentage? ______________



Does your company give a general increase? [ ] Yes [ ] No
   If yes, what percentage? ___________



Does your company give a cost of living increase? [ ] Yes [ ] No
   If yes, what percentage? __________
Compensation Practice and Policy Information (cont'd)
Does your company have a bonus or incentive plan? [ ] Yes [ ] No

If yes, please answer the following questions.



What type of bonus? [ ] Annual/Year End Bonus [ ] Incentive Bonus [ ] Other ________________



What is was the average bonus paid last year?          _____________________________



What is this year’s projected average bonus?           _____________________________



Does your company have a formal employee merit review process? [ ] Yes [ ] No

If yes, please answer the following questions.



How often are employees reviewed?                     _____________________________



What was the average merit increase for last year?     _____________________________



What is this year’s projected average increase?        _____________________________
Benefit Information
Please mark the benefit plans offered to your employees:

                 Benefit Plan
                   Exempt
                 Non-Exempt

401(k)



401(k) with Company Match



Pension Plan



Retirement Profit Sharing



Medical



Dental



Vision



Short Term Disability



Long Term Disability



Life Insurance



Vacation
Job Matching Worksheet
Review the attached job descriptions and document your matches here. If there are any
significant differences in your company's job, please note.


Insert Survey Job Title A
Your Company's Job
Title/Level
Notes Regarding Match

Level I



Level II



Level III



Level IV




Insert Survey Job Title B
Your Company's Job
Title/Level
Notes Regarding Match

Level I



Level II
Data Submission Form
Survey Job Title and Level (if applicable) ______________________________________________

Data Effective Date ____________________



Your Company's Position Title and Level


Exempt or Non-Exempt


Locations


This Position Typically Reports to:


Number of Incumbents




              Base Pay
              Minimum
              Average
              Maximum

Hourly or Annual (circle one)




Salary Grade Range or Progression
           Minimum
            Average
           Maximum
Comp survey

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Comp survey

  • 2. Data Submission Form Instructions Thank you for participating in our compensation survey. The enclosed survey is being sponsored by ABC Company. All results will be kept confidential and all participants will receive a summary of the results. The enclosed survey contains four sections. In the first section we ask for general company information. We do ask that you provide both the name of the person filling out the survey and the name of the person who the survey results should be sent to. In the second section we ask you to provide some general information about your compensation and benefit practices. The next section “Job Matching Worksheet” provides a list of the survey jobs. For each survey job and corresponding level please provide your company’s matching job. If at least 75% of the content of your company’s job matches the survey job, then it is considered a good match. If not, please specify the major differences in the Notes Regarding Match column. Finally, a separate “Data Submission Form” should be completed for each job and each location where this job exists (when the data is different by location). All annual wage data should be based on 40 hours/week (2080 hours/year). Please make as many copies of the blank form as you need.
  • 3. Data Submission Form Instructions (cont'd) The completed the survey should be faxed or mailed, no later than January X, 2000 to the following address: If you have any questions while completing this survey please contact: Thank you again for your time and effort in completing this survey.
  • 4. Company & Contact Information
  • 5. Company Name: ____________________________________ Location(s) Reported: ____________________________________ Contact Regarding Data Submittal: Name and Address for Survey Results: Name: __________ __________ __ Title: __________ __________ __ Phone Number: __________ __________ __ Fax Number: __________ __________ __ E-mail: __________ __________ __ Name: _________ _________ _____
  • 6.
  • 7. Compensation Practice and Policy Information
  • 8. Please answer the following questions regarding your company’s compensation practice and policies. Does your company utilize a broad band system? [ ] Yes [ ] No If yes, what is the band width? ______ Does your company utilize a traditional salary grade system? [ ] Yes [ ] No If yes, please answer the following questions. How is progression in the job grade determined? [ ] Time on job [ ] Merit [ ] Established steps [ ] Other ________ How often is the salary structure reviewed? ____________________ When was the last time it was adjusted? ____________________ By what percentage? ______________ Does your company give a general increase? [ ] Yes [ ] No If yes, what percentage? ___________ Does your company give a cost of living increase? [ ] Yes [ ] No If yes, what percentage? __________
  • 9.
  • 10. Compensation Practice and Policy Information (cont'd)
  • 11. Does your company have a bonus or incentive plan? [ ] Yes [ ] No If yes, please answer the following questions. What type of bonus? [ ] Annual/Year End Bonus [ ] Incentive Bonus [ ] Other ________________ What is was the average bonus paid last year? _____________________________ What is this year’s projected average bonus? _____________________________ Does your company have a formal employee merit review process? [ ] Yes [ ] No If yes, please answer the following questions. How often are employees reviewed? _____________________________ What was the average merit increase for last year? _____________________________ What is this year’s projected average increase? _____________________________
  • 12.
  • 14. Please mark the benefit plans offered to your employees: Benefit Plan Exempt Non-Exempt 401(k) 401(k) with Company Match Pension Plan Retirement Profit Sharing Medical Dental Vision Short Term Disability Long Term Disability Life Insurance Vacation
  • 15.
  • 17. Review the attached job descriptions and document your matches here. If there are any significant differences in your company's job, please note. Insert Survey Job Title A Your Company's Job Title/Level Notes Regarding Match Level I Level II Level III Level IV Insert Survey Job Title B Your Company's Job Title/Level Notes Regarding Match Level I Level II
  • 18.
  • 20. Survey Job Title and Level (if applicable) ______________________________________________ Data Effective Date ____________________ Your Company's Position Title and Level Exempt or Non-Exempt Locations This Position Typically Reports to: Number of Incumbents Base Pay Minimum Average Maximum Hourly or Annual (circle one) Salary Grade Range or Progression Minimum Average Maximum