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| The following contact information is not required, only complete if you feel comfortable providing us your information. |
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First Name:
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Last Name:
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Email:
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(yourname@email.com) |
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Phone #:
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(xxx-xxx-xxxx) |
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| Do you consider a funeral home having a membership in a Professional Funeral Service Association an important criteria when selecting a funeral home? |
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When considering a choice of funeral home in a time of need, how would you rank the following as the basis of your decision. (1 most important 5 not important)?
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Have you ever heard of the Dignity Memorial brand? |
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Yes No |
| Have you heard of the Order of the Golden Rule? |
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Yes No |
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If yes, what do you believe they stand for? |
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| If you were to consider funeral arrangements, what would best describe your choice of wishes? |
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Traditional Funeral Service with earth burial |
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Traditional Funeral Service with Cremation |
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Immediate Cremation with Memorial Service |
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No service at all |
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Some visiting with the body present |
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Some visiting with the body not present |
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Something else. Please explain
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| With the growing number of funeral homes being corporately owned, what best describes your views: |
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I would rather deal with an independent family owned funeral home. |
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I think that Corporate owned funeral homes offer better service. |
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I don't care for Corporate owned entities in funeral service. |
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It doesn't matter. |
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In selecting a funeral home for yourself or for someone else, would you prefer a funeral home that was? |
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Owned by a large national corporation |
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Local, independently owned |
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Would not really make a difference in selection of funeral home |
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Why would you choose our Funeral Home? (please check all that applies) |
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Advertising |
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Attended other services conducted by our firm |
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Clergy |
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Facilities |
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Friend Recommended |
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Golden Rule Funeral Home |
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Family & Locally Owned |
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Previously Served Your Family |
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Our Prices |
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Religious Affiliation |
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Reputation |
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Staff Member |
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Our Yellow Page Ad |
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We would like to thank you for taking the time to complete our online survey.
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