Funeral Questionnaire

Funeral Questionnaire, feedback from clients

Name
First Last
Funeral Date:*
Reference Number
1) How satisfied were you with our service?
- Very satisfied
- Fairly satisfied
- Neither satisfied nor dissatisfied
- Dissatisfied
Please give details
2) Did anyone or anything particularly impress you?
- Yes
- No
Please give details
3) Was everything about the funeral fully explained to you?
- Yes
- No
Please give details
4) Did you choose a Direct Cremation (a no service funeral?)
- Yes
- No
4a) What was the reason a direct cremation was chosen?
- Simplicity
- Lower cost
- No fuss
- It was the choice of the deceased
- Holding a commemoration separately
- Family unable to attend
- Dislike of crematorium
- Other
Please give details
5) Would you recommend us to a relative or friend?
- Yes
- No
Please let us know why
6) What could we do to improve our customer service?
7) Why did you choose to use us? (please select all that are applicable)
- Have used you before
- Recommended
- Location
- Advertisement
- Our Reputation
- Other
Please give details
8) How did you hear about us?
- Radio Advert
- TV Advert
- Other Advert
- Leaflet
- Google
- Scotmid Member
- Our Website
- Recommendation
- Other
Please give details
9) Is it okay to use this feedback as a review? (We would only use your initials along with your comments)
- Yes
- No
10) Would you like information on any of the following?
- Funeral Plans
- Memorial Masonry
- Scotmid Co-Operative Membership
Consent
We will use the information you have provided to contact you as requested. For further details on how your data is used and stored, please see our Privacy Policy