* 1. Why did you choose our funeral home:

* 2. Please evaluate the following:

  Superior Good Needs Improvement N/A
Initial contact with the firm
Appearance of facilities
Arrangement conference
Attitude of staff
Merchandise Selection
Attention to detail
Appearance of deceased (if applicable)
Coordination of service details
Overall satisfaction with services, goods and staff
If you visited our website, was it helpful?

* 3. Would you recommend our funeral home to others?

* 4. The price of the funeral we selected was:

* 5. During the arrangement conference, were the following options presented to you? (please select all that apply)

* 6. Would your experience with the funeral home been simplified if funeral arrangements had been made in advance?

* 7. Have you made your funeral and cemetery arrangements yet?

* 8. Your concerns about making arrangements, if any, could be attributed to:

* 9. May we have your permission to use your comments and survey content for training and promotional material?

* 10. Are there any other comments or suggestions you would like to make:

* 11. What type of event did you attend on our property?

* 12. Regarding Question 11, please tell us who you visited us on behalf of:

* 13. What is your first name?

* 14. What is your last name?

* 15. What is the best email address to reach you at if we have any questions?

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