Online Survey

We need your help. We are conducting a survey to determine how members of our community plan for one of the hardest things a family has to face . . . the death of a loved one.

The brief questions that follow are designed to assist us in knowing more about what people want and need at this most difficult time. This will help us improve our service by pinpointing what is most important to you. Please answer these questions as completely as you can and submit it to us so we can better serve you.

Your Information:


What is your age?

25 or Younger
26 - 40
41 - 65
66 or Older

Have you attended a funeral at Maple Hill Funeral Home?

Yes
No

Please tell us what you think about our funeral home and the services we provide:

Quality of Service:
Excellent
Good
Fair
Poor
Unknown
Pricing:
Affordable
Competitive
Lower than Comparable Funeral Homes
Higher than Comprarable Funeral Homes

Have you ever been responsible for making funeral arrangements?

Yes
No

If you have given any thought to the subject, which would you choose for yourself?

Burial
Cremtion
Mausoleum

Are you aware of all choices available for:

Burial:
Yes
No
Cremation:
Yes
No

How much would you expect to pay for a funeral?

Under $4000
$4000 - $6000
$6000 - $8000
Over $8000

Do you own Cemetery Property?

Yes
No

Please tell us what you think about our cemetery and services we provide:

Upkeep of Cemetery:
Excellent
Good
Fair
Poor
Unknown
Pricing:
Affordable
Competitive
Lower than Comparable Cemeteries
Higher than Comparable Cemeteries

What services would you most like to see Maple Hill offer in the future?

A Family Center:
Yes
No
Chapel (Indoor Mausoleum):
Yes
No
Funeral Education Seminars:
Yes
No
Pet Services:
Yes
No

In the event of your death, who would be responsible for making the arrangements?

Spouse Children Family Member Other

Do your loved ones know what type of services you would prefer?

Yes
No

Are you aware that Pre-Paid funeral Plans exist?

Yes
No

Are you aware that prelanning your final arrangements can help you qualify for Medicaid?

Yes
No

Are you concerned about "emotional overspending" by the person planning your funeral if the decisions are left to be made at a difficult time?

Yes
No

Would you like to receive free information on any of the following at no obligation? Check all that apply.

Pre Planning Guide
Funeral Cost Estimate
Cemetery Information
Cremation Options
Lock-In Today's Cost
Veteran's Benefits

How and when would you like to be contacted?


Please leave any comments or suggestions you may have for us.