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Agenda
Insurance
Retirement
Wellness
UTD Services
Enrollment
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Benefits Fair Survey
Benefits Fair Exit Survey
Name
(Last Name, First Name)
Work Phone
UTD Email
Job Classification
Choose One…
Faculty
Staff
RA/TA/GA
Retiree
Have you attended a UT Dallas Benefits and Wellness event in the past?
Yes
No
Did you attend the onsite Benefits & Wellness Fair on July 15th?
Yes
No
Did you attend the UT Dallas Virtual Benefits website during the Annual Enrollment period?
Yes
No
How many times did you visit the UT Dallas Virtual Benefits Fair Website fo…
Is the Virtual Benefits Fair information helpful in reviewing and choosing your benefits during Annual Enrollment?
Yes
No
Please provide additional information on how we can help you further.
How did you hear about this event?
Did you attend any of the presentation(s) or activities during the fair?
Yes
No
Which presentations and activities?
What benefits and wellness topics or activities would you like to hear more about?
Did you receive helpful information at the event?
Which do you prefer to attend?
Choose…
In-Person
Virtual
If you work remote or hybrid, would you attend a future Onsite Benefits Fair? If not, do you prefer to attend a Virtual Benefits Fair?
Overall, how would you rate this event?
1
2
3
4
5
Please provide any additional comments about your experience at the Benefits and Wellness Fair
Submit
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