As your corporate pension provider we are interested in understanding the impact of pension auto-enrolment on our customers. This will ensure that we provide the support you will require.

	What is the name of this scheme (e.g. the John Smith Ltd Group Personal Pension Scheme)

	Please provide the scheme reference number if you know it (This would normally be a combination of letters and numbers e.g.P000066444)

	What industry sector is your company in? (If no sector fits please tick other and then specify)
	Agriculture and Forestry		Call Centre		Care Services
	Charity services		Communications		Construction
	Electricity, Gas and Water		Finance, Insurance and Real Estate		Food, drink and tobacco
	General manufacturing		Government		Health
	Hotels, Catering and Leisure		Housing Association		IT Services
	Media and Publishing		Mining		Professional Services, e.g. Legal
	Public Services		Retail and Wholesale		Textiles
	Transport and Storage		Other

	If other please specify

	What proportion of your employees is under the age of 30. Please report in a percentage e.g. 25%

	What proportion of your employees have been with your company for less than 2 years? Please report in a percentage e.g. 25%

	How many employees work with in your organisation?
	1 – 5		201-500
	6 - 20		501-1000
	21 - 50		1001-2000
	51 - 100		2001-5000
	101-200		>5000

	What percentage of your workforce are currently members of this scheme? please tick one of the ranges below
	0-20%
	21-40%
	41-60%
	61-80%
	81-100%

	What are the standard employer and employee contribution rates to your scheme with us?
		NA		1-3%		4-7%		8% or >
	Employer
	Employee

	Do you currently offer a 'Salary exchange' option to members of this scheme?
	Yes
	No

	Is your company part of a larger group?
	Yes
	No

	What is the name of the larger group?

	How many employees are in the wider group?
	1 – 5
	6 - 20
	21 - 50
	51 - 100
	101-200
	201-500
	501-1000
	1001-2000
	2001-5000
	>5000

Other pension schemes

	Do you currently offer employees membership of any other company pension schemes?
	Yes
	No

	What proportion of your employees are members of another scheme? Please report in a percentage e.g. 25%

Auto-enrolment intentions

	Do you know your likely staging date? (this is the date by which your are required by law to offer your employees a pension via Auto-enrolment)
	Yes
	No

	If yes when is your enrolment date? (Please enter the month and year e.g.  March 2014)

	Have you decided whether or not you will extend your scheme to cover your Auto-enrolment obligation for all your employees?
	I have not thought about it
	Yes - Probably
	No - probably not
	I will probably use NEST to cover my Auto-enrolment obligations
	I may use this scheme for some of my employees and  NEST for others

Just a few quick details and we are done

	Please can you provide your name e.g. John Smith

	What position do you hold at your company

	If you are interested in receiving a copy of the survey results please add your e-mail address below

Please press the submit button once. Thank you for your time. You have now been entered in the draw for an Ipad.