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Open Enrollment 2026 - Feedback Form

EPS logo, wavy design in crimson and gold

HUMAN RESOURCES DEPARTMENT

This form should be used to submit feedback regarding your 2026 Open Enrollment experience.
(April 27, 2026 - May 8, 2026)

Required fields marked with an asterisk *

First Name*

Answer required for "First Name"

Last Name*

Answer required for "Last Name"

Email Address*

Answer required for "Email Address"

Employee ID Number

Answer required for "Employee ID Number"

What was the name of the Advisor who assisted you?

Answer required for "What was the name of the Advisor who assisted you?"

If your overall rating response was "Below Average" or "Poor" please share more details below.

Answer required for "If your overall rating response was \"Below Average\" or \"Poor\" please share more details below."

How would you compare this year's open enrollment process to last year's?*

Answer required for "How would you compare this year's open enrollment process to last year's?"

Much Better

Better

About the Same

Worse

Much Worse

N/A (did not attend last)

Did you have enough information and guidance to make an informed decision?*

Answer required for "Did you have enough information and guidance to make an informed decision?"

Yes

How long did it take you to complete your enrollment?*

Answer required for "How long did it take you to complete your enrollment?"

What additional health or wellness benefits would you like to see offered?

Answer required for "What additional health or wellness benefits would you like to see offered?"

Is there anything else you would like to add about your experience?

Answer required for "Is there anything else you would like to add about your experience?"

FOR INTERNAL USE ONLY

EPS Human Resources Department

Answer required for "FOR INTERNAL USE ONLY"

Confirmation Email

Confirmation Email *

Answer required for "Confirmation Email"