Employer Feedback Survey

1
Select Your Industry* This field is required.
Please Select
Please Select
Accounting Firm
Agriculture
Advertising Agency
Aerospace & Defense
Apparel
Architecture Firm
Automotive
Aviation
Bank
Bars/Nightclubs
Beauty/Cosmetics
Business Consulting
Cannabis
Casino
Computer Software
Construction
Country Club
Doctor's Office
E-Commerce
Education
Electronics
Employee Benefits
Energy
Entertainment
Financial Services
Fitness
Food & Beverage
Gas Stations
Healthcare
Hospitals
Hotel Group
Industrial
Insurance Broker
Insurance Company
Investment Firm
Law Firm
Maintenance
Manufacturer
Marketing Firm
Media
Medical Equipment
Merchant Services
Moving/Storage
Municipality
Non-Profit
Nursing Home
Office Supplies
Packaging
Parking Garage
Payroll
Pet Care
Pharmaceutical
Press
Private Equity
Property Management
Public Relations
Publishing
Real Estate
Recruiting/Staffing
Religious
Restaurant Group
Retail
Risk Management
Security
Spa
Sports
Supermarket
Technology Company
Telecommunications
Title Insurance
Transportation
Union
University
Waste Management
Wholesaler
2
Select Your State The Business Is Headquartered In* This field is required.
Please Select
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Micronesia
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
3
Your Role In The Company* This field is required.
Please Select
Please Select
Owner
CFO
HR
Friend of Executive
Director
CEO
Payroll
Administrative Assistant
Other
4
Number of Full Time Employees* This field is required.
10 - 25
25 - 50
50 - 100
More than 100
5
Business Structure* This field is required.
LLC
C-Corp
S-Corp
Other
6
Do you provide Health Insurance?* This field is required.
Fully Insured
Self Insured
Captive
No Insurance Offered
7
Do you offer Employees a Wellness Plan?* This field is required.
Yes
No
8
Type of Workers Comp Insurance?* This field is required.
Fully Insured
Self Insured
Captive
None
9
If sued for a Mental Health Related Injury, I would...* This field is required.
Be screwed, and most likely lose that case
I have a resource in place to deny and win the case
10
How many workers comp claims have you lost in the last 5 years? (Estimate)* This field is required.
0
1 - 3
4 - 10
10+
11
How many workers comp claims were tied to Mental Health in the last 5 years (Estimate)* This field is required.
0
1 - 3
4 - 10
10+
12
Quarter by Quarter, which costs do you track?* This field is required.
Employee Turnover
Absenteeism
Reduced/Improved Productivity
Loss/Gain in Team Morale
Retention/Recruitment
All of the above
None of the above
13
I believe Mental, Physical, & Financial Fortitude can impact the following...* This field is required.
Employee Turnover
Absenteeism
Presenteeism
Productivity
Team Morale
Retention/Recruitment
My Balance Sheet
All of the above
None of the above
14
Do you feel you're over-paying for Workers Comp Premiums?* This field is required.
Yes
No
Unclear of Industry Standard
15
Which would you see the most Value in considering a "Zero Additional Net Costs" to you or your Employees?* This field is required.
Reducing Workers Comp Premiums & Claims by up to 40%?
Saving $550+ in FICA Taxes, per Employee, per Annum?
Providing eligible Employees an "Add-On" Benefits focused on Mental, Physical, Financial fortitude
Providing eligible Employees a $100K Guaranteed Issue, Cash Value Life Insurance Policy, they owned
A resource to deny & win workers comp claims related to Mental Health
All of the above
16
Interested in being "paid" per employee, per month to implement previous mentioned benefits, while doing so at "Zero Additional Net Costs"* This field is required.
Yes
No
Need to know more
17
I was aware of the following...* This field is required.
Workers Comp Premiums set to rise 4.9% in 2024, atop the 11% in 2022
Mental Health is officially the #1 contributing factor in WC claims at 52%
45% of the US workforce (75 million people) have grappled with mental illness in their life
76% of the US workforce, (128 million people) experienced "stress" from work related pressures in 2023
51% of the US workforce, (65 million people) reported emotional stress significantly impacted their job performance
Unresolved depression accounts for a 35% reduction in Productivity or $210 Billion annual US economic loss
10,000+ Google searches a month relating to suing employers, and mental health with majority at 900%+ YoY search increases
None of the above (shocked)
All of the above (the US is clearly in a Crisis)
18
I have employees with a 401K & interested in conversion options to avoid being sued by employees for under performance* This field is required.
Yes
No
Need to know more
19
Interested in reviewing our Group Health Insurance options to optimize benefits and savings* This field is required.
Yes
No
20
Interested in offering Health Share, Comprehensive Medical Alternative, up to 50% savings for Un-Insured Employees* This field is required.
Yes (I'd also like to get paid per employee, per month)
No
Need to know more
21
Your CPA maxes out your write-offs, you do the following with retained earnings...* This field is required.
Pull out capital as "earned income", paying 20%+ earned income tax
Leave capital on the balance sheet, paying 20%+ retained earnings tax
Take out loan from Corporation equal to market interest rates
None of the above
22
I have $100K+ in Corporate Capital I'd like to access in a tax advantaged way, while leaving capital on the balance sheet* This field is required.
Yes - Send me your 4 step structure
No - I do not have $100K+ I need access to at this time
23
I have Key Employees/Executives I am interested in offering the following...* This field is required.
Golden Handcuffs - Executive Bonus Plans
Key Person Life Insurance
Open to any Benefits that can help me Retain and Recruit the best talent available
No additional benefits needed at this time
24
I am considering Selling my business* This field is required.
Yes - I'm interested in an Industry Market Analysis, & Value Enhancement Strategy consultation
No - Not looking to sell at this time
25
I am considering Buying a business* This field is required.
Yes, I'd consider buy side representation
Yes, I'd consider pooling resources with other investors to purchase
I am an Investor and interested in funding other buyers
Not interested in purchasing, and not an investor
26
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27
Full Name* This field is required.
First Name
Last Name
28
Cell Number* This field is required.We send Destination Certificates via Text & Email
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29
Email* This field is required.We send Destination Certificates via Text & Email
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