Funeral Planning

Funeral Planning Survey

Full Name *

Email

Phone *

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Address

Street Address *

City *

State *

Country *

Country

Postal code *

How old are you? *

under 25

25-40

41-65

66 or older

Are you currently:

Employee

Retired

Have you ever been responsible for making funeral arrangements? *

Yes

No

Which of the following would you choose for yourself? *

Burial

Cremation

How much might you expect to pay for a funeral? *

Under $5,000

$5,000 - $6,000

$7,000 - $8,000

Over $8,000

Do you own cemetery property? *

Yes

No

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

Wife/Husband

Kids

Family member

Other

Do your loved ones know what you would want them to choose? *

Yes

No

Are you aware that pre-paid funeral plans exist? *

Yes

No

Would you like information or a free consultation about funeral planning, the types of services available, and how you can save money by planning ahead? *

Yes – by phone

Yes – in person

Yes – by Zoom

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