Help Us to Better Serve You. Take a Brief Survey

Please find a questionnaire designed to help us learn more about the opinions, preferences and needs of local families when coping with the death of a loved one. Your candid answers will greatly assist us in enhancing our services and being responsive to our community.

1. Please describe yourself:

   Gender Female Male
   Marital Status Married Divorced Single Widowed
   Age 60-65 66-70 71-75 76-80 over 80
   

2. Which would you choose for yourself?

   Burial Cremation Undecided

3. How much would you expect to be spent on final expenses?

   Less than $5,000 $5,000 to $10,000 $10,000 to $15,000 More than $15,000

4. Have you ever made funeral arrangements for a loved one?

   Yes
   No

   If yes, when?

   In the last 2 years
   More than 2 years ago

   If you had to arrange it over again, is there anything you would arrange differently?

   Yes
   No

   If yes, what?

5. Please check all that apply in importance to you in selecting a funeral home:

   Location
   Reputation
   On-site Crematory
   Friendly Staff
   Attractive Facilities
   Cost
   Flexibility
   Other

6. Please check the 2 MOST important factors in selecting a crematory:

   Crematory owned and operated by the funeral home
   Crematory is on-site with the funeral home
   Able to have a private family viewing prior to cremation
   Ability to witness the start of the cremation
   Crematory offers a CREMATION WITH CONFIDENCE guarantee
   

7. Are you aware of how a certified funeral celebrant could enhance a funeral experience, either religious or non-religious to uniquely express the life and significance of your loved one? Would like more information?

   Yes
   No

8. Have you prearranged your final arrangements?

   Yes
   No

9. THANK YOU FOR YOUR HELP AND TIME IN COMPLETING THIS SURVEY!!!

   Name Address City State Zip Phone Email