|
Do you have a Will? |
Yes No
|
Has it been updated lately? |
Yes No
|
Have you ever made funeral arrangements before? |
Yes No
|
If 'Yes': |
|
Within the Past Year 1 to 3 Years Over 3 Years
|
How much do you think funerals cost? |
|
Have you been informed that Pre-Arranged and Funded funeral plans exist? |
Yes No
|
Do you have a pre-paid funeral plan? |
Yes No
|
If "No", have you ever considered a prepaid funeral plan? |
Yes No
|
Have you purchased Life Insurance to help pay for your funeral arrangements? |
Yes No
|
If "Yes", does the beneficiary understand the policy and the reason for having this policy? |
Yes No
|
When choosing your arrangements, would you choose? |
Burial Cremation Mausoleum Entombment Not Sure
|
Have you purchased cemetery property? |
Yes No
|
In the event of your death, who will be responsible for making your funeral arrangements? |
Spouse Children Other family member Other
|
Who will be responsible for making the payment of your arrangements? |
Spouse Children Other family member Other
|
Does the person making the arrangements know of all your preferences, including casket, flowers and services? |
Yes No
|
Would making your own arrangements give you peace of mind knowing that you have planned and paid for your own funeral arrangements? |
Yes No
|
Do you feel that making your own funeral arrangements are as important as keeping your life insurance and will up to date? |
Yes No
|
If you have any further comments or questions that we help us then please use the box that we have provided below: |
|