(DORMANT) Carl M. Williams Funeral Directors, Inc. Funeral Planning Survey
First Name
*
Last Name
*
Email
Phone (Mobile Number)
*
How old are you?
Under 25
25-40
41-65
66 or older
Current Employment Status
Employed
Retired
Have you ever been responsible for making funeral arrangements?
Yes
No
Which of the following would you choose for yourself?
Burial
Cremation
How much might you expect to pay for a funeral?
Under $5,000
$4,000 - $6,000
$6,000 - $8,000
Over $8,000
Do you own cemetery property?
Yes
No
When your death occurs, who would be responsible for making arrangements?
Spouse
Children
Family Member
Other
Do your loved ones know what you would want them to choose?
Yes
No
Are you aware that pre-paid funeral plans exist?
Yes
No
Address
*
City
*
State
*
Postal code
*
Messaging opt-in
*
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