Wages and Fringe Benefits Survey
(* indicates a required field)
*Company Information
Business Name
Address
City
State
Zip
*Who would be the primary contact person within your company concerning business or
economic development assistance?
Contact Name
Title
Phone Number
Email
*Who would be the primary contact person within your company concerning Human
Resources?
Contact Name
Title
Phone Number
Email
*Product/Operation of Company:
Construction
Manufacturing
Agricultural
Wholesale Trade
Distribution/Warehousing
Mining
Research/Development
Utilities
Retail Trade
Professional, Scientific, or
Technical
Healthcare, Social Services
Educational
Finance, Insurance,
Real Estate
Transportation
Public
Administration
1
Waste Management
Other:
*What year was your company established in the community?
*Location type:
Headquarters
*
Total Full-Time
Employment:
Branch
# of Full-Time
Hourly
Employees:
Single Location
# of Full-Time
Salaried
Employees:
# of Part-Time
Employees:
Subsidiary
# of Temporary
Employees:
*Is your company unionized?
Yes
No
*If yes:
% of workers in union:
Name of union:
N/A
*During the next 12 months, is a change in employment anticipated?
Increase
Stable
Decrease
*During the past 12 months, was there a change in employment levels?
Increase
Stable
Decrease
2
*
Total annual
payroll:
Percentage Full-time
payroll:
Percentage Parttime payroll:
Percentage Temp
payroll:
*Number of shifts:
Day and times of shifts:
*Does your company offer shift premiums?
Yes
No
How much are the shift premiums?
How much does your company pay for overtime?
*How do you chiefly recruit your workers?
Word of Mouth
Newspaper Ads
Radio/TV
Walk-Ins
Referrals
Job Board/Sign
Trade Journals
Colleges
Recruiters
State Agency
Job Fairs
Networking
Union Hall
Social Media
Other:
Internet
Staffing/Temp
Service
WorkOne
If your company utilizes staffing/temp service firm(s), which one(s) do you use?
*Does your company perform any of the following?
Pre-employment Drug Testing
Random Drug Testing
3
Suspicion/Cause Drug Testing
Post-Accident Drug Testing
Return-to-Work Drug Testing
Criminal Background Check
Drivers License Check
Nicotine Check
What is the ethnic diversity of your workers? (Please use percentages.)
HOURLY:
White:
SALARIED:
White:
Black/African
American:
Native
American
Indian/Alaska
Native:
Asian:
Hispanic/Latino: Native
Hawaiian/Other
Pacific Islander:
Black/African
American:
Native
American
Indian/Alaska
Native:
Asian:
Hispanic/Latino: Native
Hawaiian/Other
Pacific Islander:
EMPLOYER RATINGS
*Please rate the following:
Excellent
Good
Fair
Poor
Availability of Skilled Workers
Availability of Unskilled Workers
Availability of Professional Workers
Availability of Technical Workers
Productivity - Hourly Workers
Productivity - Salaried Workers
Reliability - Hourly Workers
Reliability - Salaried Workers
Attitudes/Soft Skills - Hourly Workers
Attitudes/Soft Skills - Salaried Workers
Reading Skills - Hourly Workers
Reading Skills - Salaried Workers
Writing Skills - Hourly Workers
Writing Skills - Salaried Workers
4
Math Skills - Hourly Workers
Math Skills - Salaried Workers
Teamwork - Hourly Workers
Teamwork - Salaried Workers
*Please rate the following educational institutions in terms of delivering the skills that are
needed for area workers:
Excellent
Good
Fair
Poor
Area Public Schools
Area Trade Schools
Area Community Colleges
*For the following ratings, please indicate "Low" (0-4%); "Moderate"(5-10%); or “High” (11%
or above).
Low
Moderate
High
Substance Abuse – Skilled Hourly
Substance Abuse – Unskilled Hourly
Substance Abuse – Salaried
Turnover - Skilled Hourly
Turnover - Unskilled Hourly
Turnover - Salaried
Tardiness - Skilled Hourly
Tardiness - Unskilled Hourly
Tardiness - Salaried
Absenteeism - Skilled Hourly
Absenteeism - Unskilled Hourly
Absenteeism -Salaried
TRANSPORTATION
To what extent do the following transportation issues affect your company’s workforce?
Greatly Significantly Somewhat Slightly Not at all
Availability of private transportation
Costs of private transportation
Availability of public transportation
Cost of public transportation
Length of employee’s commute
5
Does your company offer or promote any of the following transportation options?
Carpool
Shuttle service
Vanpool
Fuel stipend
Mass transit
Other:
Would your company consider offering or promoting any of the following transportation options if
they were available?
Carpool
Shuttle service
Vanpool
Fuel stipend
Mass transit
Other:
Do you consider these to be long-term or short-term solutions?
Long-term
Short-term
Comments:
General comments regarding transportation factors
or needs affecting workforce:
HOLIDAYS - HOURLY WORKERS:
*Does your company offer paid holidays for hourly employees?
Yes
No
How many paid holidays are allowed per year for hourly employees?
If hourly employees work on holidays, what is the pay rate?
HOLIDAYS - SALARIED WORKERS:
*Does your company offer paid holidays for salaried employees?
6
Yes
No
How many paid holidays are allowed per year for salaried employees?
SICK LEAVE - HOURLY WORKERS:
*Does your company offer paid sick leave to hourly employees?
Yes
No
When are hourly employees eligible for paid sick leave?
How many days per year are allowed?
Can sick leave be carried over?
Yes
No
Does your company pay for unused sick leave?
Yes
No
SICK LEAVE - SALARIED WORKERS:
*Does your company offer paid sick leave to salaried employees?
Yes
No
When are salaried employees eligible for paid sick leave?
How many days per year are allowed?
Can sick leave be carried over?
7
Yes
No
Does your company pay for unused sick leave?
Yes
No
VACATION - HOURLY WORKERS:
*Does your company offer paid vacation to hourly employees?
Yes
No
When are hourly employees eligible for paid vacation?
Can vacation time be carried over?
Yes
No
Does your company pay for unused vacation time?
Yes
No
VACATION - SALARIED WORKERS:
*Does your company offer paid vacation to salaried employees?
Yes
No
When are salaried employees eligible for paid vacation?
8
Can vacation time be carried over?
Yes
No
Does your company pay for unused vacation time?
Yes
No
ADDITIONAL PAID LEAVE – HOURLY WORKERS:
Are hourly employees given additional paid leave for any of the following? (Please check all
that apply.)
Paid Maternity/Paternity
Paid Jury Duty
Paid Court Appearances
Paid Bereavement
Paid Military Duty
Paid Personal Days
Paid Birthdays
Family Leave (Critical Illness)
ADDITIONAL PAID LEAVE – SALARIED WORKERS:
Are salaried employees given additional paid leave for any of the following? (Please check all
that apply.)
Paid Maternity/Paternity
Paid Jury Duty
Paid Court Appearances
Paid Bereavement
Paid Military Duty
Paid Personal Days
Paid Birthdays
Family Leave (Critical Illness)
FINANCIAL PLANS/ALLOWANCES – HOURLY WORKERS:
*Does your company offer financial plans/allowances to hourly employees?
Yes
9
No
Please check all that apply:
401K
403B
Bonus, Annual
Bonus, Attendance
Bonus, Monthly
Bonus, Production/Incentive
Bonus, Quarterly
Bonus, Safety
Childcare Assistance
Credit Union
ESOP/ESPP
Health Savings Plan/FSA
IRA/SEP
Pension Plan
Savings Plan
Stock Purchase/Stock
Options
Profit Sharing
Plan/Gainsharing
TFP (Thrift Savings Plan)
Tuition
Reimbursement
FINANCIAL PLANS/ALLOWANCES – SALARIED WORKERS:
*Does your company offer financial plans/allowances to salaried employees?
Yes
No
Please check all that apply:
401K
403B
Bonus, Annual
Bonus, Attendance
Bonus, Monthly
Bonus, Production/Incentive
Bonus, Quarterly
Bonus, Safety
Childcare Assistance
Credit Union
ESOP/ESPP
Health Savings Plan/FSA
IRA/SEP
Pension Plan
Savings Plan
Stock Purchase/Stock
Options
Profit Sharing
Plan/Gainsharing
TFP (Thrift Savings Plan)
10
Tuition Reimbursement
ADDITIONAL BENEFITS/ALLOWANCES – HOURLY WORKERS:
Are any of the following types of benefits/allowances offered to hourly employees? (Please
check all that apply.)
EAP (employee
assistance plan)
Business Travel/Mileage
Cell Phone
Eyewear Discount
Identity Theft
Legal
Prescription Drug Card
Supplemental Life Insurance
Uniform Discount
Transportation
ADDITIONAL BENEFITS/ALLOWANCES – SALARIED WORKERS:
Are any of the following types of benefits/allowances offered to salaried employees? (Please
check all that apply.)
EAP (employee
assistance plan)
Business Travel/Mileage
Cell Phone
Eyewear Discount
Identity Theft
Prescription Drug Card
Supplemental Life Insurance Uniform Discount
Legal
Transportation
INSURANCE - HOURLY WORKERS:
*Does your company offer insurance to hourly employees?
Yes
No
If insurance is provided for hourly employees, please indicate percentage of premium paid by
your company.
Health insurance - employees
Health insurance - dependents
11
Dental insurance - employees
Dental insurance - dependents
Vision insurance - employees
Vision insurance - dependents
Life insurance - employees
Life insurance - dependents
Accidental Death/Dismemberment insurance - Accidental Death/Dismemberment insurance employees
dependents
Short-term disability - employees
Short-term disability - dependents
Long-term disability - employees
Long-term disability - dependents
INSURANCE - SALARIED WORKERS:
*Does your company offer insurance to salaried employees?
Yes
No
If insurance is provided for salaried employees, please indicate percentage of premium paid
by your company.
Health insurance - employees
Heath insurance - dependents
Dental insurance - employees
Dental insurance - dependents
Vision insurance - employees
Vision insurance - dependents
Life insurance - employees
Life insurance - dependents
Accidental Death/Dismemberment insurance - Accidental Death/Dismemberment insurance employees
dependents
Short-term disability - employees
Short-term disability - dependents
Long-term disability - employees
Long-term disability - dependents
12
WAGES
The following section deals with wages for hourly and salaried workers. For hourly workers,
please provide entry and average wages as well as the number of employees in each job
classification. For salaried workers, please provide average annual salary and number of
employees.
To produce as accurate a report as possible, it is very important that all information be
entered. Try your best to match job classifications with the listed titles to help ensure that your
data is included in the survey results. However, there is additional space for industry-specific
jobs if needed.
Job Title
Entry Wage
Per Hour
(Hourly
Employees)
Average
Wage
Per Hour
(Hourly)
Number of
Employees
(Hourly)
Average
Annual
Salary
(Salaried)
Number of
Employees
(Salaried)
Accountant
Accounting Clerk
Accounting Manager
Accounts Payable Clerk
Accounts Receivable Clerk
Administrative Assistant
Assembler - Electrical
Assembler - General
Assistant
Assurance/Inspection
Building & Grounds
Buyer/Purchaser
Carpenter
Chief Executive Officer
Chief Financial Officer
Chief Operating Officer
CNC Operator
Computer Operator
Computer Programmer
Computer Technician
Credit Manager
Customer Service
Customer Service Manager
13
Data Entry Operator
Database Administrator
Dispatcher
Drafter (CAD)
Driver/Courier
Electrician
Engineer
Engineering Manager
Engineering Technician
Estimator
Executive Assistant
Expeditor
File Clerk
Foreman
Fork Lift Operator
General Laborer
General Manager
General Office
Heavy Equipment
Help Desk Operator
Human Resources
Human Resources
Inventory Analyst
Inventory/Stock Clerk
IT Specialist
Janitor
Line Supervisor/Foreman
Machine Operator, no
Machine Operator, with
Maintenance
Maintenance Mechanic
Maintenance-General
Maintenance-Helper
Manager
Marketing Assistant
Marketing Manager
Materials Handler
Network Administrator
Nurse
Office Manager
Operator
Packer/Picker
14
Painter
Payroll Clerk
Payroll Supervisor
Planner
Plant Controller
Plant Manager
Project Manager
Quality
Quality Manager
Receptionist/Switchboard
Representative
Retail Sales
Sales Manager
Secretary - Executive
Secretary - General
Security Guard
Setup
Setup
Shipping/Receiving Clerk
Software Developer
Systems Analyst
Tool & Die Maker
Truck Driver - Heavy
Truck Driver -Light
Vice President
Warehouse Manager
Warehouse Supervisor
Warehouse Worker
Welder
Didn’t see a job listed? Feel free to add below:
Job Title
Entry Wage
Per Hour
(Hourly
Employees)
Average
Wage
Per Hour
(Hourly)
Number of
Employees
(Hourly)
Average
Annual
Salary
(Salaried)
Number of
Employees
(Salaried)
15
16