.

Employee Expenses Survey

Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.

Secured
Survio
Create a survey
1

Week Ending Date

Select the date that marks the end of the week.
2

Date of Expense

Enter the date you incurred the expense.
3

Job Number

Enter the job number related to the expense.
4

Expense Description

Briefly describe what the expense was for.
5

Expense Amount

Enter the amount spent on the expense
6

Total Cost

Enter the total cost of all expenses combined.
7

Overall Satisfaction

Rate your overall satisfaction with the expenses made this week.
8

Reimbursement Request

Would you like to request reimbursement for these expenses?
9

Preferred Payment Method

Select your preferred method of receiving the reimbursement.
10

Additional Comments

Feel free to add any additional comments or notes regarding your expenses.
Create a survey