Family Survey

Thank you for recently using the services of Holly Funeral Home.

Please take a few minutes to share your candid responses to the following questions as they relate to the services provided by our funeral home. Your feedback helps us ensure that our funeral home upholds the standards that you have come to expect and quality of care we provide to our families. You have an option of providing your contact information or not. Either way, we will share the results to our staﬀ.

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Reason For Selecting this Funeral Home

Please identify the main reason(s) why this specific funeral home was chosen. Select all that apply.

Location

Facilities

Reputation

Wishes of the family

Pre-arranged funeral

Previous family experience

Previous attendance at other funerals

Independently-owned

Pricing

Advertising

Funeral Home website

Personal recommendation

Other (please explain below)

Other

Was this funeral home your first choice?

Yes

If we were not your first choice, please let us know why

Rating this Funeral Home

Initial contact with the firm (phone, email, visit)

Does Not Apply

Very Dissatisfied

Somewhat Dissatisfied

Neutral

Somewhat Satisfied

Very Satisfied

Attention to detail

Does not apply

Very Dissatisfied

Somewhat Dissatisfied

Neutral

Somewhat Satisfied

Very Satisfied

Sensitivity of the funeral director

Does not apply

Very Dissatisfied

Somewhat Dissatisfied

Neutral

Somewhat Satisfied

Very Satisfied

Courtesy of the staff overall

Does not apply

Very Dissatisfied

Somewhat Dissatisfied

Neutral

Somewhat Satisfied

Very Satisfied

Preparation and appearance of the deceased

Does not apply

Very Dissatisfied

Somewhat Dissatisfied

Neutral

Somewhat Satisfied

Very Satisfied

Condition of the facilities

Does not apply

Very Dissatisfied

Somewhat Dissatisfied

Neutral

Somewhat Satisfied

Very Satisfied

Flexibility/willingness to meet special requests

Does not apply

Very Dissatisfied

Somewhat Dissatisfied

Neutral

Somewhat Satisfied

Very Satisfied

Information provided for decision-making

Does not apply

Very Dissatisfied

Somewhat Dissatisfied

Neutral

Somewhat Satisfied

Very Satisfied

Variety of available services and merchandise

Does not apply

Very Dissatisfied

Somewhat Dissatisfied

Neutral

Somewhat Satisfied

Very Satisfied

Freedom and time to make decisions without pressure

Does not apply

Very Dissatisfied

Somewhat Dissatisfied

Neutral

Somewhat Satisfied

Very Satisfied

Clarity of pricing and payment policy

Does not apply

Very Dissatisfied

Somewhat Dissatisfied

Neutral

Somewhat Satisfied

Very Satisfied

Tribute/memorialization options

Does not apply

Very Dissatisfied

Somewhat Dissatisfied

Neutral

Somewhat Satisfied

Very Satisfied

Creativity of service and support options

Does not apply

Very Dissatisfied

Somewhat Dissatisfied

Neutral

Somewhat Satisfied

Very Satisfied

Overall impression of the ceremony

Does not apply

Very Dissatisfied

Somewhat Dissatisfied

Neutral

Somewhat Satisfied

Very Satisfied

Overall rating of the services of the firm

Does not apply

Very Dissatisfied

Somewhat Dissatisfied

Neutral

Somewhat Satisfied

Very Satisfied

Value of services received compared to the price paid

Does not apply

Very Dissatisfied

Somewhat Dissatisfied

Neutral

Somewhat Satisfied

Very Satisfied

Value of merchandise purchased (casket, urn, vault) compared to price paid

Does not apply

Very Dissatisfied

Somewhat Dissatisfied

Neutral

Somewhat Satisfied

Very Satisfied

Please give any additional comments you would like to share regarding this firm and/or the service you received. If you would like to comment on your on evaluation items 1 through 17, please include the item number(s) in your comments:

Your Comments

Would you recommend this funeral home to family members and friends?

Yes

Maybe

Final Feedback

What specific aspects of the firm’s service were most meaningful to you, and what, if anything, could they have done to improve your experience?

If you would like to recognize staff people for either exemplary care or poor service, please identify the specific staff person(s) and share your comments regarding this person(s)

May we use your comments on our website and in other promotional materials?

Yes

Resources

Family Survey

Thank you for recently using the services of Holly Funeral Home.

Your information was submitted successfully

Reason For Selecting this Funeral Home

Rating this Funeral Home

Final Feedback