Henry Walser Funeral Home Survey
Thank you for your confidence in us. We are always trying to improve our standard of care and we would appreciate your help. Please complete the short survey below.
Sign in to Google to save your progress. Learn more
Your First & Last Name *
Regarding the services for: *
Why did you choose Henry Walser Funeral Home?
Check as many as necessary
Did you receive a warm and friendly greeting upon first contact with our team?
Clear selection
On a scale of 1 – 5 with 5 being Excellent how would you rate the following? 
(Leave the response BLANK if the question was not applicable in your situation)
Your Arrangement Funeral Director
Poor
Excellent
Clear selection
Our Administrative Team
Poor
Excellent
Clear selection
Your Service Funeral Director & Team
Poor
Excellent
Clear selection
The professional guidance, direction  and care you received from our team
Poor
Excellent
Clear selection
The quality of your food and beverage for your catered reception
Poor
Excellent
Clear selection
Would you recommend us to a friend or family member?
Clear selection
Any additional comments or suggestions?
May we share your comments on our Testimonial page? *
Would you like to recognize any of our team members that provided exceptional service? 
Many Families today have preplanned and/or prepaid their funeral.  Would you like additional information about this service? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Henry Walser.

Does this form look suspicious? Report

Google Forms