Bartolomeo & Perotto Follow-up Survey
Choosing Bartolomeo & Perotto Funeral Home
How did you hear about our funeral home? (select all that apply)
If you were referred by someone, please enter the name of the person below
Your answer
Please share with us why you chose our funeral home (Select all that apply)
Please choose the funeral director you worked with
What words would you use to describe the arrangement process?
Your answer
Please Evaluate the Following
One star
Two stars
Three stars
Four stars
Five stars
#1. Initial contact (phone, email, visit)
#2 Attention to detail
#3 Sensitivity of the Funeral Director
#4 Courtesy of the staff overall
#5 Preparation and appearance of the deceased
#6 Condition of the facilities
#7 Flexibility/willingness to meet special requests
#8 Information provided for decision making
#9 Variety of available services and merchandise
#10 Freedom and time to make decisions without pressure
#11 Clarity of pricing and payment policy
#12 Tribute/Memorialization options (audio-visual, web based, etc)
#13 Creativity of service and support options
#14 Overall impression of the ceremony
#15 Overall rating of the services of the funeral home
#16 Value of services received compared to price paid
#17 Value of merchandise purchased (casket, urn, vault) compared to price paid
What aspects of your experience with us were most meaningful to you?
Your answer
What, if anything, could they have done to improve your experience?
Your answer
If you would like to recognize specific staff people for either exemplary care or poor service, please identify the specific staff person(s) and share your comments regarding this person(s)
Your answer
Would you recommend our funeral home to family members and friends
Yes
No
Additional Information (optional)
Would you like to receive information on any of the following? (Select all that apply and provide your contact information below)
May we use your comments on our website and other promotional materials?
Yes
No
Contact Information (optional)
Name
Your answer
Phone Number
Your answer
Email Address
Your answer
Mailing Address
Your answer
City, State, Zip
Your answer
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