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Thank You for Choosing Johnson Funeral Home

Please take a quick survey to let us know about your experience and how we can improve our services.

Performance Survey

Selection of Funeral Homes

What factors were important in the selection of the funeral home to serve you?

Pre Arrangements w Funeral Home

Request of Deceased

Convenience of Location

Reputation of Funeral Home

Previously Served My Family

Recommendation or Referral

Attended Services at Funeral Home

Quality of Funeral Home Facilities

Price of Funeral Service

(please select all that apply)

If other, please specify:

How likely would you be to recommend this funeral home to others?

Would Not RecommendNot Very LikelySomewhat LikelyVery Likely

(please select one)

Overall, how would you rate this funeral home?

PoorFairGoodExcellent

(please select one)

How likely are you to use this funeral home again?

Not Very LikelySomewhat LikelyVery Likely

(please select one)

Funeral Arrangements

How would you rate the staff of the funeral home?

Timely Response:

PoorFairGoodExcellent

Attention to Detail:

PoorFairGoodExcellent

Communication Skills:

PoorFairGoodExcellent

Professional Conduct & Appearance:

PoorFairGoodExcellent

Ability to Address Your Needs:

PoorFairGoodExcellent

How would you rate the handling of making the arrangements?

Excellent Courtesy & Compassion of Staff:

PoorFairGoodExcellent

Understanding of Your Service Needs & Wishes:

PoorFairGoodExcellent

Ability to Fully Answer Your Questions:

PoorFairGoodExcellent

Fully Explained Available Service Options:

PoorFairGoodExcellent

Provided a Variety Options for Merchandise:

PoorFairGoodExcellent

Clearly Explained Service Costs:

PoorFairGoodExcellent

Gave Enough Time to Make Choices:

PoorFairGoodExcellent

Professionalism & Expertise of Staff:

PoorFairGoodExcellent

Were you satisfied with the options that were available?

YesNo

Funeral Home Facility

How would you rate the funeral home facilities?

Interior Furnishings & Appearance:

PoorFairGoodExcellent

Availability of Parking:

PoorFairGoodExcellent

Interior & Exterior Lighting:

PoorFairGoodExcellent

Occupancy Capacity for Guests:

PoorFairGoodExcellent

Convenience of Location:

PoorFairGoodExcellent

Handicap Accessibility:

PoorFairGoodExcellent

Overall Cleanliness:

PoorFairGoodExcellent

Professional Services & Merchandise

How would you rate the professional services that were offered?

PoorFairGoodExcellent

(please select one)

Was the cost of the professional services provided…

Less Than I Expected

Within My Budget

About What I Planned

Appropriate for Services Provided

More than I Anticipated

High Based on Services Provided

(please select one)

How would you rate the merchandise that was offered?

Casket & Vault Selection & Options:

PoorFairGoodExcellent

Cremation Urn Selection & Options:

PoorFairGoodExcellent

Type of Tribute & Memorial Options:

PoorFairGoodExcellent

Personalized Options (e.g., jewelry, candles):

PoorFairGoodExcellent

Were you informed about veteran’s or social security benefits that you may be entitled to?

YesNo

Actual Service

Were you satisfied with the appearance of your loved one?

YesNoN/A

Comments:

If you had special requests for the service, were you accommodated?

YesNo

Comments:

Would you like to be contacted by us to pre-arrange and/or pre-pay for your funeral or that of a loved one?

YesNo

Additional Comments

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.

Please provide your contact information:

First & Last Name:

Telephone

Email Address

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By clicking submit, I understand that Johnson Funeral Home may use my comments in their advertising.

Thank you for your time and business.

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