COLE FAMILY OWNED
In order to serve you better, we know that it is important to accept any criticisms along with praise in order to excel in our cause. We encourage you to provide us with your genuine comments on how well we served you in your time of need.
Name: *
Address: *
City: *
Postal Code: *
Phone: *
Name of the Funeral Director who assisted you: *
1. Why did you choose our funeral home? (Choose all that apply) Service pre-arranged Recommended by clergy Previously served family Location Prices Religious affiliation Recommended by friend Reputation Facilities
2. How did you hear about our funeral home? Newspaper Recommended by clergy Funeral home Employee Yellow Pages Getting to know you Reputation
3.During the arrangement conference, did you find the information provided helpful in making your selections? (please select only one) Yes No Not Sure
4. Was our Staff Courteous? Yes No Not Sure
5. Would you please rate the following IF THEY APPLY
Initial Contact with our firm: Please select an option Satisfied Neutral Dissatisfied
Arrangement Conference: Please select an option Satisfied Neutral Dissatisfied
Merchandise Selection: Please select an option Satisfied Neutral Dissatisfied
Appearance of Deceased: Please select an option Satisfied Neutral Dissatisfied
Visitation: Please select an option Satisfied Neutral Dissatisfied
Arrangement Co-Ordination: Please select an option Satisfied Neutral Dissatisfied
Appearance of facilities: Please select an option Satisfied Neutral Dissatisfied
Staff Attitude: Please select an option Satisfied Neutral Dissatisfied
6. Please respond to the following statement,"The prices charged by our funeral home were reasonable." (Choose the one that applies) Yes No Not Sure
7. Based on your experience, would you recommend our funeral home to others? (If the answer is no, please explain below in the provided comments box) Yes No Not Sure
Additional Comments or Suggestions
Help us serve our community better! We invite you to fill out our Family Feedback Form to let us know how well we served you in your time of need.