Family Satisfaction Survey

1. Comfort of the funeral home

1 2 3 4 5

2. Variety of merchandise offered

3. Variety of merchandise offered

ABOUT THE FUNERAL DIRECTOR

1. Information given about funeral/cremation process

1 2 3 4 5

2. Explanation of different funeral goods and services

1 2 3 4 5

3. Availability to answer questions and concerns

1 2 3 4 5

4. Options offered to personalize service

1 2 3 4 5

5. Was patient, helpful, knowledgeable and attentive

1 2 3 4 5

ABOUT THE STAFF

1. Telephone courtesy

1 2 3 4 5

2. Respectfulness/Professionalism during visitation/service

1 2 3 4 5

3. Flexibility to meet your needs

1 2 3 4 5

ABOUT YOUR SERVICE (If applicable.  If not, skip.)

1. Preparation and appearance of your loved one

1 2 3 4 5

2. Cleanliness of vehicles

1 2 3 4 5

3. Respectfulness of attendants

1 2 3 4 5

4. Display and handling of floral tributes

1 2 3 4 5

5. Services were performed as you had arranged

1 2 3 4 5

6. Overall direction and coordination of services

1 2 3 4 5

SUMMING UP YOUR EXPERIENCE

1. How satisfied were you with services provided

1 2 3 4 5

2. Did you bring any areas of concern to staff

Yes No

3. If so, were they handled to your satisfaction

1 2 3 4 5

4. Would you recommend this funeral home to a friend or relative

1 2 3 4 5

5. The price of the funeral you selected was what you expected

1 2 3 4 5

6. If you haven’t pre-arranged your services, would you like information

1 2 3 4 5

ADDITIONAL COMMENTS