Funeral Planning Survey

Full Name *

Email *

Phone *

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Address

Street Address *

City *

State *

Country *

Postal code *

Do you maintain up-to-date biographical information and accurate family records to assist you or a loved one with funeral planning?

Yes

No

Have you made firm plans and arrangements for a Cemetery property?

Yes

No

Which of the following would you choose for yourself?

Burial

Cremation

When your death occurs, who would be responsible for making arrangements?

Spouse

Children

Family Member

Other

Are you going to be personally responsible for making funeral arrangements for a loved one or close friend?

Yes

No

Are you aware that pre-paid funeral plans exist?

Yes

No

Would it give you peace of mind to know you could do the planning in advance and that your family would not have to make arrangements?

Yes

No

Would you like FREE information about funeral planning and the types of services which are available?

Yes

No