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Memorial Survey
Thank you for choosing a memorial at Centennial Park.
We value your feedback and would appreciate you completing this survey so that we can continue to improve our service.
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Age
(Required.)
18 - 29
30 -44
45 - 59
60 -74
75+
*
Postcode
(Required.)
*
Gender
(Required.)
Male
Female
Other/unspecified
Why did you choose Centennial Park to memorialise your loved one?
(tick all that apply)
Location
Recommendation
Family connection
Other (please specify)
Overall how would you rate the service you received from the memorial consultant you met with?
Very Satisfied
Somewhat satisfied
Neither satisfied nor dissatisfied unsatisfied
Somewhat dissatisfied
Very dissatisfied
Please comment
*
On a scale of 0 to 10,
How likely is it that you would recommend Centennial Park to a friend or colleague?
0 for Not at all likely, 10 for Extremely likely
(Required.)
Not at all likely
Extremely likely
0
1
2
3
4
5
6
7
8
9
10
What was the main reason for your score?
If you were present when your loved one was interred, please provide feedback on your experience:
Very satisfied
Somewhat satisfied
Neither satisfied nor dissatisfied
Somewhat dissatisfied
Very dissatisfied
Please comment
Are there any products or other services you would suggest we offer?
Would you be interested in planning for your own end-of-life arrangement or a family member’s?
If so, please tick if you are interested in: (tick all that apply)
Burial arrangements
Cremation arrangements
Memorial arrangements
Funeral arrangements
Please provide your contact details if you would like to discuss these with us.
If would like a response to this feedback please provide your preferred contact details.
Would you like to receive our email newsletter?
Yes
No
Please provide email address for subscription.
Thank you for your feedback.
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