Enter the name of the deceased
or next of kin:
,
Online Survey Form Online TributesContact UsComment & Suggestions
 


220 East Sixth St.
P. O. Box 30
Tipton IA
563.886.6336

OUR ONLINE SURVEY

Can you please complete the following questions to help us serve you better. Your time is valuable to us, and we greatly appreciate you completing these questions. If you have any questions please feel free to contact us.


The following contact information is not required, only complete if you feel comfortable providing us your information.
First Name:
Last Name:
Email:
(yourname@email.com)
Phone #:
(xxx-xxx-xxxx)

Do you consider a funeral home having a membership in a Professional Funeral Service Association an important criteria when selecting a funeral home?

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)?
 
1
2
3
4
 5
Family has been served by the firm in the past.
Funeral home is conveniently located to us.
Price
Reputation
Professional Association Affiliations.
Know the owner or someone on staff.
Saw an advertisement by firm.

Have you ever heard of the Dignity Memorial brand?
  Yes No
Have you heard of the Order of the Golden Rule?
  Yes No
If yes, what do you believe they stand for?
 

If you were to consider funeral arrangements, what would best describe your choice of wishes?
Traditional Funeral Service with earth burial
Traditional Funeral Service with Cremation
Immediate Cremation with Memorial Service
No service at all
Some visiting with the body present
Some visiting with the body not present

Something else. Please explain


With the growing number of funeral homes being corporately owned, what best describes your views:
I would rather deal with an independent family owned funeral home.
I think that Corporate owned funeral homes offer better service.
I don't care for Corporate owned entities in funeral service.
It doesn't matter.

In selecting a funeral home for yourself or for someone else, would you prefer a funeral home that was?
Owned by a large national corporation
Local, independently owned
Would not really make a difference in selection of funeral home

Why would you choose our Funeral Home? (please check all that applies)
Advertising
Attended other services conducted by our firm
Clergy
Facilities
Friend Recommended
Golden Rule Funeral Home
Family & Locally Owned
Previously Served Your Family
Our Prices
Religious Affiliation
Reputation
Staff Member
Our Yellow Page Ad

We would like to thank you for taking the time to complete our online survey.

 
  


 

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