Survey

Service Evaluation

We are an independent, family owned funeral home who is committed to serving families with care, compassion, and dignity. To help us evaluate the service you recently received from our family, we ask that you take a few minutes to complete this evaluation of service. Please note any exceptional service or suggestions for improvement. We appreciate your time and thank you for taking a moment to complete this survey!

** All questions are optional**

Why did you choose this funeral home?
Advertising
Attended Other Services
Clergy Recommended
Facilities
Friend Recommendation
Family/Locally Owned
Location
Previously Served Family
Reputation
Initial Contact With Firm:
Superior
Good
Poor
Arrangement Conference:
Superior
Good
Poor
Merchandise Selection:
Superior
Good
Poor
Ample Time Given For Making Decisions:
Superior
Good
Poor
Appearance Of Deceased:
Superior
Good
Poor
Visitation:
Superior
Good
Poor
Coordination Of Service Details:
Superior
Good
Poor
Attention To Detail:
Superior
Good
Poor
Appearance Of Outdoor Facilities:
Superior
Good
Poor
Appearance Of Indoor Facilities:
Superior
Good
Poor
Staff Attitude:
Superior
Good
Poor
Personal Attention:
Superior
Good
Poor
Sensitivity Of Funeral Director:
Superior
Good
Poor
Information Provided:
Superior
Good
Poor
Freedom To Make Decisions:
Superior
Good
Poor
Explanation Of Payment Policy:
Superior
Good
Poor
How The Ceremony Met Your Expectations:
Superior
Good
Poor
Cost Of Services:
Less Than Expected
Expected
More Than Expected
Cost Of Merchandise:
Less Than Expected
Expected
More Than Expected
Your Personal Comments or Suggestions:
About The Funeral Director:
About The Funeral Staff:
About The Funeral Home Facility:
About The Ceremony:
What Other Products Or Services Should The Funeral Home Provide:
Any Other Comments Or Suggestions:
What Was The Main Concern When Planning For The Service:
Not Knowing What To Expect
Choosing The Appropriate Service, Casket & Vault
Anticipated Expense
Making Major Decisions At This Time
Other
If Other Please Explain:
Would It Have Been Less Difficult If Some Decisions Could Have Been Made In Advance:
Yes
No
We Offer An Advance Planning Program To Put Your Wishes & Desires In A Confidential File At The Funeral Home At No Charge. Would You Like Advance Planning Information:
Yes
No
First Name:
Last Name:
Address:
City:
State/Province:
Zip Code:
Email Address:
Phone Number: