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
1
2
3
4
Appearance of Deceased (if applicable)
5
6
7
8
Initial contact with the firm
9
10
11
12
Appearance of facilities
13
14
15
16
Attention to detail
17
18
19
20
Attitude of staff
21
22
23
24
Personal attention
25
26
27
28
Coordination of service details
29
30
31
32
Overall Satisfaction w/ services, goods, and staff
33
34
35
36
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
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