JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
CSEA Council 400 Survey
We would like to thank the many Council 400 members that participated in our past surveys. Your input helps shape our agenda for retired State employees. CSEA Council 400 has taken an active role in keeping our members safe by supporting legislation for No Excuse Absentee Balloting. We are interested in hearing from our members about their opinions and experiences if you used it in the past election so we have a short survey on election voting and health care that will take you less than 3 minutes to complete. The survey is completely anonymous and information is being collected for informational purposes only.
**Questions in this survey are multiple choice only, this is not the opportunity for comment**
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Absentee Balloting Questions
Did you vote in the last election?
*
Yes
No
How did you vote?
*
In-person
No-excuse absentee ballot
I didn't vote
If you vote by absentee ballot, how did you find it?
*
Very Easy To Vote By Absentee
Easy To Vote By Absentee
Not So Easy To Vote By Absentee
Difficult To Vote By Absentee
Very Difficult To Vote By Absentee
I Did Not Vote By Absentee
Do you support no-excuse absentee balloting and early voting?
*
Yes
No
No Opinion
Healthcare and Dental Questions
These questions are solely being collected for informational purposes ONLY, there is no option for comments.
If you are in the UnitedHealthcare/Oxford's Medicare Advantage Plan (Age 65 and over), how satisfied are you with the plan?
Extremely Satisfied
Very Satisfied
Satisfied
Somewhat Dissatisfied
Very Dissatisfied
Clear selection
If you are in the Anthem Blue Cross/Blue Shield Plan (under the age of 65), how satisfied are you with the plan?
Extremely Satisfied
Very Satisfied
Satisfied
Somewhat Dissatisfied
Very Dissatisfied
Clear selection
If you are in the Cigna dental plan, how satisfied are you with the plan?
*
Extremely Satisfied
Very Satisfied
Satisfied
Somewhat Dissatisfied
Very Dissatisfied
Not Enrolled
Submit
Clear form
This form was created inside of Connecticut State Employee Association.
Report Abuse
Forms