Pathways Survey
Please complete and submit your responses below.
Name
First Name
Last Name
Email
example@example.com
Why did you choose our funeral home?
Advertising
Facilities
Attended other services by the firm
Recommendation
Reputation
Please evaluate the following:
Superior
Good
Needs Improvement
N/A
Merchandise Selection
Appearance of Deceased (if applicable)
Initial contact with the firm
Appearance of facilities
Attention to detail
Attitude of staff
Personal attention
Coordination of service details
Overall Satisfaction w/ services, goods, and staff
Would you recommend our funeral home to others?
Yes
No
The price of the funeral we selected was:
Less than expected
What we expected
More than expected
Would your experience with the funeral home been simplified if funeral arrangements had been made in advance?
Yes
No
Have you made your funeral arrangements yet?
Yes
No
Have you made your cemetery arrangements yet?
Yes
No
Your concerns about making arrangements, if any, could be attributed to:
Coping with the shock of loss
Choosing the appropriate services
Not knowing what my loved one wanted
Potential expense
Not knowing what to expect
Contact me with more information regarding:
Veterans Benefit Information
Medicaid Spend Down Information
Assist me with my final wishes
How to legally pre-authorize a funeral
FREE Personal Planning Guide
Grief Support
Are there any other comments or suggestions you would like to make?
Account ID
Contact Email
example@example.com
Submit
Should be Empty: