Citywide Survey

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Citywide Survey

SURVEY

What age group are you? *

Under 55 56-70 70 or older

Is there an honorably discharged veteran in your household? *

Yes No

Have you ever been responsible for making funeral or cremation arrangements? *

Yes No

Did you know that prepaid pre-arrangements plans are available? *

Yes No

How much might you expect to pay for a funeral? *

$1000-$2500 $2500-$5000 $5000-$7500 Over $7500

How important to you is the location (proximity) of a funeral home or crematory when considering the cost of services? *

Very Important Somewhat important Not important

I fyou have given thought to the subject, which of the following would you chose for yourself? *

Burial Cremation Ship out to another city or country

Does your family have detailed instructions and vital information to handle your arrangements like you would desire? *

Yes No

In the event of your death, who would be responsible for making arrangements? *

Children Family Member Other I have no one to do it

Would you like free information, without obligation about any of our types of services? *

Family Planning Guide Low Cost Burial Services Low Cost Cremation Service Veterans Assisted Funeral or Cremation Services Affordable Payment Plans Out of State Shipment after Death Monuments and Markers

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Submit

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