Arrangement Conference Reflection
Your feedback is very important to us. We are honored that you and your family entrusted us during a difficult time, and your responses will help us continue to improve our care for families.
Your Name
First Name
Last Name
Suffix
Your Loved One's Name
First Name
Last Name
Suffix
Your E-mail
example@example.com
Which Burgess staff member waited on you and your family?
Allison Faulkenberry
Karah Ward
Evelyn Finch
Kathy Blackmon
Kelsie Ward
Chloe Clark
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1. How would you describe your arrangements meeting?
Excellent
Very Good
Good
Fair
Poor
2. Did you feel treated with kindness, patience, and understanding?
Always
Most of the time
Sometimes
Rarely
Never
Any reason in particular?
3. Did you feel supported throughout the meeting?
Yes, completely
Mostly
Somewhat
Not at all
What did we do to make you feel or not feel supported throughout this process?
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4. Did you feel comfortable asking questions or sharing concerns?
Yes, completely
Mostly
Somewhat
Not at all
Tell us about your experience during the conversation:
5. How would you describe the professionalism of the funeral director and staff?
Excellent
Good
Fair
Poor
6. Is there a staff member you would like to recognize? If so, why?
7. Did the arrangement space feel calm, private, and welcoming?
Yes
Somewhat
No
Please share your thoughts about the environment:
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8. Did you feel heard and understood while making decisions for your loved one?
Yes, completely
Mostly
Somewhat
Not at all
Additional thoughts:
9. If we assisted in writing the obituary, how well did we capture your loved one’s life and story?
Extremely well
Very well
Adequately
Could have been improved
Please share your thoughts on the obituary writing process:
10. Was your contract explained to you in a clear and gentle way?
Very clearly
Mostly clearly
Somewhat clearly
Not clearly
Please share your thoughts on how your contract was explained to you.
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11. Is there anything we could have done differently to better support you during the arrangements process?
12. Based on your arrangements meeting, how would you rate your overall experience?
1
2
3
4
5
Submit
Should be Empty: