Family Feedback Form

In order to serve you better, we know that it is important to accept any criticisms along with praise in order to excel in our cause. We encourage you to provide us with your genuine comments on how well we served you in your time of need.

Personal Information
  1. (required)
  2. (valid email required)
  3. (required)
  4. (required)
  6. (required)
Funeral home related feedback
  1. (required)
  2. 2. How did you here about our funeralhome?
  5. 3.During the arrangement conference, did you find the information provided helpful in making your selections? (please select only one)
  7. 4. Was our Staff Courteous?
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  1. 5. Would you please rate the following IF THEY APPLY! (choose only one response for each item)
  2. Initial contact with our firm
  4. Arrangement Conference
  6. Merchandise Selection
  8. Appearance of Deceased
  10. Visitation
  12. Arrangement Co-Ordination
  14. Arrangement Co-Ordination
  16. Staff Attitude
  18. 6. Please respond to the following statement,"The prices charged by our funeral home were reasonable." (Choose the one that applies)
  20. 7. Based on your experience, would you recommend our funeral home to others? (If the answer is no, please explain below in the provided comments box)
 

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