Anderson Winfield Funeral Home Survey 1Selection of Funeral Home2Funeral Arrangements3Professional Services & Merchandise4Actual Service5Additional Comments & Submit This field is hidden when viewing the formNext Steps: Install the Survey Add-OnThis form requires the Gravity Forms Survey Add-On. Important: Delete this tip before you publish the form.What factors were important in the selection of the funeral home to serve you? Pre-Arrangements with Funeral Home Request of Deceased Convenience of Location Reputation of Funeral Home Attended Services at Funeral Home Price of Funeral Service If other: Please specify:Overall, how would you rate this funeral home?Very SatisfiedSomewhat SatisfiedNeutralSomewhat DissatisfiedVery DissatisfiedHow likely are you to use this funeral home again?Very LikelySomewhat LikelyNeutralNot Very Likely How would you rate the staff of the funeral home?Timely Response:Very SatisfiedSomewhat SatisfiedNeutralSomewhat DissatisfiedVery DissatisfiedAttention to Detail:Very SatisfiedSomewhat SatisfiedNeutralSomewhat DissatisfiedVery DissatisfiedProfessional Conduct & Appearance:Very SatisfiedSomewhat SatisfiedNeutralSomewhat DissatisfiedVery DissatisfiedHow would you rate the handling of making the arrangements?Excellent Courtesy & Compassion of Staff:Very SatisfiedSomewhat SatisfiedNeutralSomewhat DissatisfiedVery DissatisfiedUnderstanding of Your Service Needs & Wishes:Very SatisfiedSomewhat SatisfiedNeutralSomewhat DissatisfiedVery DissatisfiedAbility to Fully Answer Your Questions:Very SatisfiedSomewhat SatisfiedNeutralSomewhat DissatisfiedVery DissatisfiedFully Explained Available Service Options:Very SatisfiedSomewhat SatisfiedNeutralSomewhat DissatisfiedVery DissatisfiedClearly Explained Service Costs:Very SatisfiedSomewhat SatisfiedNeutralSomewhat DissatisfiedVery DissatisfiedProfessionalism & Expertise of Staff:Very SatisfiedSomewhat SatisfiedNeutralSomewhat DissatisfiedVery Dissatisfied How would you rate the professional services that were offered?Very SatisfiedSomewhat SatisfiedNeutralSomewhat DissatisfiedVery DissatisfiedWas the cost of the professional services provided:Less than I expectedWithin my budgetAbout what I plannedAppropriate for services providedMore than I anticipatedHigh based on services providedHow would you rate the merchandise that was offered?Cremation Urn Selection & Options:Very SatisfiedSomewhat SatisfiedNeutralSomewhat DissatisfiedVery DissatisfiedType of Tribute & Memorial Options:Very SatisfiedSomewhat SatisfiedNeutralSomewhat DissatisfiedVery Dissatisfied Were you satisfied with the appearance of your loved one?Very SatisfiedSomewhat SatisfiedNeutralSomewhat DissatisfiedVery DissatisfiedComments:Would you like to be contacted by us to pre-arrange and/or pre-pay for your funeral or that of a loved one? Yes No Provide Contact InformationNameEmailPhoneAre you likely to recommend this funeral home to others?(Required) Yes No Unsure Looking back, is there anything you would change about the service?Do you have any additional comments that you would like to share? We would like to use your comment on our website
