survey.ducro.com Open in urlscan Pro
2606:4700:4400::6812:235a Public Scan

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URL:
https://survey.ducro.com/
Submission: On June 27 via api (June 27th 2024, 6:00:25 am UTC) from US — Scanned from DE

Form analysis
1 forms found in the DOM

Name: builder-form —

<form id="_builder-form"
  style="background-color:#FFFFFF;color:#undefined;border:0px dashed #CDE0EC;border-radius:4px 4px 0 0;max-width:450px;width:100%;margin-top:;border-color:#CDE0EC;padding-top:0px;padding-bottom:0px;padding-left:20px;padding-right:20px;box-shadow:0;margin-bottom:0;"
  name="builder-form" class="ghl-survey-form" data-v-92ea5fef=""><!---->
  <div class="ghl-question-set" style="margin-top:2px;" data-v-92ea5fef=""><!--[-->
    <div class="ghl-page-current form-builder--wrap-questions ghl-question" data-v-92ea5fef="">
      <div class="fields-container row" data-v-92ea5fef=""><!--[-->
        <div class="col-12" data-v-92ea5fef="">
          <div class="f-even form-field-container" data-v-92ea5fef="">
            <div data-v-92ea5fef="">
              <div class="field-container">
                <div id="form-first_name" class="form-builder--item-input form-builder--item"><!----><label>First Name <span>*</span></label><input type="text" placeholder="First Name" name="first_name" class="form-control" id="first_name"
                    data-required="true"><!----><!----></div>
              </div>
            </div><!---->
            <div class="field-divider" data-v-92ea5fef=""></div>
          </div>
        </div>
        <div class="col-12" data-v-92ea5fef="">
          <div class="f-odd form-field-container" data-v-92ea5fef="">
            <div data-v-92ea5fef="">
              <div class="field-container">
                <div id="form-last_name" class="form-builder--item-input form-builder--item"><!----><label>Last Name <span>*</span></label><input type="text" placeholder="Last Name" name="last_name" class="form-control" id="last_name"
                    data-required="true"><!----><!----></div>
              </div>
            </div><!---->
            <div class="field-divider" data-v-92ea5fef=""></div>
          </div>
        </div>
        <div class="col-12" data-v-92ea5fef="">
          <div class="f-even form-field-container" data-v-92ea5fef=""><!---->
            <div class="form-builder--item field-container form-builder--item-input" data-v-92ea5fef=""><!----><label>Email <span>*</span></label>
              <div>
                <div class="flex email-input"><input placeholder="Email" name="email" type="email" class="form-control" data-required="true"><!----></div><!----><!---->
              </div><!----><!----><!---->
            </div>
            <div class="field-divider" data-v-92ea5fef=""></div>
          </div>
        </div>
        <div class="col-12" data-v-92ea5fef="">
          <div class="f-odd form-field-container" data-v-92ea5fef="">
            <div data-v-92ea5fef="">
              <div class="field-container">
                <div id="form-phone" class="form-builder--item-input form-builder--item"><!----><label>Phone (Mobile Number) <span>*</span></label><input type="tel" name="phone" placeholder="Phone" autocomplete="off" class="form-control" id="phone"
                    data-q="phone" data-required="true"><!----><!----></div>
              </div>
            </div><!---->
            <div class="field-divider" data-v-92ea5fef=""></div>
          </div>
        </div>
        <div class="col-12" data-v-92ea5fef="">
          <div class="f-even form-field-container" data-v-92ea5fef=""><!---->
            <div class="form-builder--item" data-v-92ea5fef="">
              <div class="terms-and-conditions"><input id="terms_and_conditions_pt4l45tltoq" value="terms_and_conditions" name="terms_and_conditions" type="checkbox" data-q="terms_and_conditions" data-required="true"><span
                  style="font-family:roboto;margin-left:10px;" for="terms_and_conditions_pt4l45tltoq"><span style="color: #000000;">
                    <p><em>I agree to receive marketing messaging from Ducro Funeral Services and Crematory at the phone number provided above. I understand message frequency varies, data rates may apply. Reply STOP to opt out.</em></p>
                    <p style="text-align: start"><a style="color: #188bf6; text-decoration: none;" target="_blank" rel="noopener noreferrer nofollow" href="https://privacy.ducro.com/policy-2024">Privacy Policy </a>|
                      <a style="color: #188bf6; text-decoration: none;" target="_blank" rel="noopener noreferrer nofollow" href="https://terms.ducro.com/terms-of-services">Terms &amp; Conditions</a></p>
                  </span></span></div><!---->
            </div>
            <div class="field-divider" data-v-92ea5fef=""></div>
          </div>
        </div><!--]-->
      </div>
    </div>
    <div class="form-builder--wrap-questions ghl-question" data-v-92ea5fef="">
      <div class="fields-container row" data-v-92ea5fef=""><!--[-->
        <div class="col-12" data-v-92ea5fef="">
          <div class="f-even form-field-container" data-v-92ea5fef=""><!---->
            <div class="form-builder--item form-builder--item-input" data-v-92ea5fef=""><!----><label>Overall, how would you rate our services? <span>*</span></label><!--[-->
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="Excellent_ozdkgudh7LxSFaO8AGTK_0_pt4l45tltoq" value="Excellent" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="Excellent_ozdkgudh7LxSFaO8AGTK_0_pt4l45tltoq">Excellent</label></div>
              </div>
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="Good_ozdkgudh7LxSFaO8AGTK_1_pt4l45tltoq" value="Good" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="Good_ozdkgudh7LxSFaO8AGTK_1_pt4l45tltoq">Good</label></div>
              </div>
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="Fair_ozdkgudh7LxSFaO8AGTK_2_pt4l45tltoq" value="Fair" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="Fair_ozdkgudh7LxSFaO8AGTK_2_pt4l45tltoq">Fair</label></div>
              </div>
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="Poor_ozdkgudh7LxSFaO8AGTK_3_pt4l45tltoq" value="Poor" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="Poor_ozdkgudh7LxSFaO8AGTK_3_pt4l45tltoq">Poor</label></div>
              </div><!--]--><!----><!----><!---->
            </div><!---->
          </div>
        </div><!--]-->
      </div>
    </div>
    <div class="form-builder--wrap-questions ghl-question" data-v-92ea5fef="">
      <div class="fields-container row" data-v-92ea5fef=""><!--[-->
        <div class="col-12" data-v-92ea5fef="">
          <div class="f-even form-field-container" data-v-92ea5fef=""><!---->
            <div class="form-builder--item form-builder--item-input" data-v-92ea5fef=""><!----><label>Overall, how would you rate our staff? <span>*</span></label><!--[-->
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="Excellent_LKVRQRlGAceKiQCYXhqI_0_pt4l45tltoq" value="Excellent" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="Excellent_LKVRQRlGAceKiQCYXhqI_0_pt4l45tltoq">Excellent</label></div>
              </div>
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="Good_LKVRQRlGAceKiQCYXhqI_1_pt4l45tltoq" value="Good" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="Good_LKVRQRlGAceKiQCYXhqI_1_pt4l45tltoq">Good</label></div>
              </div>
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="Fair_LKVRQRlGAceKiQCYXhqI_2_pt4l45tltoq" value="Fair" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="Fair_LKVRQRlGAceKiQCYXhqI_2_pt4l45tltoq">Fair</label></div>
              </div>
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="Poor_LKVRQRlGAceKiQCYXhqI_3_pt4l45tltoq" value="Poor" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="Poor_LKVRQRlGAceKiQCYXhqI_3_pt4l45tltoq">Poor</label></div>
              </div><!--]--><!----><!----><!---->
            </div>
            <div class="field-divider" data-v-92ea5fef=""></div>
          </div>
        </div>
        <div class="col-12" data-v-92ea5fef="">
          <div class="f-odd form-field-container" data-v-92ea5fef="">
            <div data-v-92ea5fef="">
              <div class="field-container">
                <div id="form-GEWH4RC9SQl2SyMHlREx" class="form-builder--item-input form-builder--item"><!----><label>Who, if anyone, was especially helpful to you? <span>*</span></label><input type="text"
                    placeholder="Who, if anyone, was especially helpful to you?" name="GEWH4RC9SQl2SyMHlREx" class="form-control" id="GEWH4RC9SQl2SyMHlREx" data-required="true"><!----><!----></div>
              </div>
            </div><!---->
            <div class="field-divider" data-v-92ea5fef=""></div>
          </div>
        </div><!--]-->
      </div>
    </div>
    <div class="form-builder--wrap-questions ghl-question" data-v-92ea5fef="">
      <div class="fields-container row" data-v-92ea5fef=""><!--[-->
        <div class="col-12" data-v-92ea5fef="">
          <div class="f-even form-field-container" data-v-92ea5fef=""><!---->
            <div class="form-builder--item form-builder--item-input" data-v-92ea5fef=""><!----><label>Overall, were our staff knowledgeable? <span>*</span></label><!--[-->
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="Very_AggT9iSeROo6LcqYpg4P_0_pt4l45tltoq" value="Very" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="Very_AggT9iSeROo6LcqYpg4P_0_pt4l45tltoq">Very</label></div>
              </div>
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="Somewhat_AggT9iSeROo6LcqYpg4P_1_pt4l45tltoq" value="Somewhat" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="Somewhat_AggT9iSeROo6LcqYpg4P_1_pt4l45tltoq">Somewhat</label></div>
              </div>
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="No_AggT9iSeROo6LcqYpg4P_2_pt4l45tltoq" value="No" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="No_AggT9iSeROo6LcqYpg4P_2_pt4l45tltoq">No</label></div>
              </div><!--]--><!----><!----><!---->
            </div><!---->
          </div>
        </div><!--]-->
      </div>
    </div>
    <div class="form-builder--wrap-questions ghl-question" data-v-92ea5fef="">
      <div class="fields-container row" data-v-92ea5fef=""><!--[-->
        <div class="col-12" data-v-92ea5fef="">
          <div class="f-even form-field-container" data-v-92ea5fef=""><!---->
            <div class="form-builder--item form-builder--item-input" data-v-92ea5fef=""><!----><label>Overall, were our staff responsive? <span>*</span></label><!--[-->
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="Very_YEqby7b4QjeO4QRKKGI5_0_pt4l45tltoq" value="Very" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="Very_YEqby7b4QjeO4QRKKGI5_0_pt4l45tltoq">Very</label></div>
              </div>
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="Somewhat_YEqby7b4QjeO4QRKKGI5_1_pt4l45tltoq" value="Somewhat" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="Somewhat_YEqby7b4QjeO4QRKKGI5_1_pt4l45tltoq">Somewhat</label></div>
              </div>
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="No_YEqby7b4QjeO4QRKKGI5_2_pt4l45tltoq" value="No" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="No_YEqby7b4QjeO4QRKKGI5_2_pt4l45tltoq">No</label></div>
              </div><!--]--><!----><!----><!---->
            </div><!---->
          </div>
        </div><!--]-->
      </div>
    </div>
    <div class="form-builder--wrap-questions ghl-question" data-v-92ea5fef="">
      <div class="fields-container row" data-v-92ea5fef=""><!--[-->
        <div class="col-12" data-v-92ea5fef="">
          <div class="f-even form-field-container" data-v-92ea5fef=""><!---->
            <div class="form-builder--item form-builder--item-input" data-v-92ea5fef=""><!----><label>Overall, how were our staff's attention to detail <span>*</span></label><!--[-->
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="Excellent_qSupNuUmb8AEDnmbV4j8_0_pt4l45tltoq" value="Excellent" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="Excellent_qSupNuUmb8AEDnmbV4j8_0_pt4l45tltoq">Excellent</label></div>
              </div>
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="Good_qSupNuUmb8AEDnmbV4j8_1_pt4l45tltoq" value="Good" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="Good_qSupNuUmb8AEDnmbV4j8_1_pt4l45tltoq">Good</label></div>
              </div>
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="Fair_qSupNuUmb8AEDnmbV4j8_2_pt4l45tltoq" value="Fair" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="Fair_qSupNuUmb8AEDnmbV4j8_2_pt4l45tltoq">Fair</label></div>
              </div>
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="Poor_qSupNuUmb8AEDnmbV4j8_3_pt4l45tltoq" value="Poor" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="Poor_qSupNuUmb8AEDnmbV4j8_3_pt4l45tltoq">Poor</label></div>
              </div><!--]--><!----><!----><!---->
            </div><!---->
          </div>
        </div><!--]-->
      </div>
    </div>
    <div class="form-builder--wrap-questions ghl-question" data-v-92ea5fef="">
      <div class="fields-container row" data-v-92ea5fef=""><!--[-->
        <div class="col-12" data-v-92ea5fef="">
          <div class="f-even form-field-container" data-v-92ea5fef=""><!---->
            <div class="form-builder--item form-builder--item-input" data-v-92ea5fef=""><!----><label>Did we provide transportation to the service <span>*</span></label><!--[-->
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="Yes_vXRi9LbL4BN7wFgWOjBO_0_pt4l45tltoq" value="Yes" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="Yes_vXRi9LbL4BN7wFgWOjBO_0_pt4l45tltoq">Yes</label></div>
              </div>
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="No_vXRi9LbL4BN7wFgWOjBO_1_pt4l45tltoq" value="No" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="No_vXRi9LbL4BN7wFgWOjBO_1_pt4l45tltoq">No</label></div>
              </div><!--]--><!----><!----><!---->
            </div><!---->
          </div>
        </div><!--]-->
      </div>
    </div>
    <div class="form-builder--wrap-questions ghl-question" data-v-92ea5fef="">
      <div class="fields-container row" data-v-92ea5fef=""><!--[-->
        <div class="col-12" data-v-92ea5fef="">
          <div class="f-even form-field-container" data-v-92ea5fef=""><!---->
            <div class="form-builder--item form-builder--item-input" data-v-92ea5fef=""><!----><label> If so, how would you rate the cleanliness of our vehicle <span>*</span></label><!--[-->
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="1_q4EKq5TEv3fHwOkh2PHt_0_pt4l45tltoq" value="1" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="1_q4EKq5TEv3fHwOkh2PHt_0_pt4l45tltoq">1</label></div>
              </div>
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="2_q4EKq5TEv3fHwOkh2PHt_1_pt4l45tltoq" value="2" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="2_q4EKq5TEv3fHwOkh2PHt_1_pt4l45tltoq">2</label></div>
              </div>
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="3_q4EKq5TEv3fHwOkh2PHt_2_pt4l45tltoq" value="3" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="3_q4EKq5TEv3fHwOkh2PHt_2_pt4l45tltoq">3</label></div>
              </div>
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="4_q4EKq5TEv3fHwOkh2PHt_3_pt4l45tltoq" value="4" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="4_q4EKq5TEv3fHwOkh2PHt_3_pt4l45tltoq">4</label></div>
              </div>
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="5_q4EKq5TEv3fHwOkh2PHt_4_pt4l45tltoq" value="5" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="5_q4EKq5TEv3fHwOkh2PHt_4_pt4l45tltoq">5</label></div>
              </div>
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="6_q4EKq5TEv3fHwOkh2PHt_5_pt4l45tltoq" value="6" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="6_q4EKq5TEv3fHwOkh2PHt_5_pt4l45tltoq">6</label></div>
              </div>
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="7_q4EKq5TEv3fHwOkh2PHt_6_pt4l45tltoq" value="7" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="7_q4EKq5TEv3fHwOkh2PHt_6_pt4l45tltoq">7</label></div>
              </div>
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="8_q4EKq5TEv3fHwOkh2PHt_7_pt4l45tltoq" value="8" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="8_q4EKq5TEv3fHwOkh2PHt_7_pt4l45tltoq">8</label></div>
              </div>
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="9_q4EKq5TEv3fHwOkh2PHt_8_pt4l45tltoq" value="9" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="9_q4EKq5TEv3fHwOkh2PHt_8_pt4l45tltoq">9</label></div>
              </div>
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="10_q4EKq5TEv3fHwOkh2PHt_9_pt4l45tltoq" value="10" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="10_q4EKq5TEv3fHwOkh2PHt_9_pt4l45tltoq">10</label></div>
              </div><!--]--><!----><!----><!---->
            </div><!---->
          </div>
        </div><!--]-->
      </div>
    </div>
    <div class="form-builder--wrap-questions ghl-question" data-v-92ea5fef="">
      <div class="fields-container row" data-v-92ea5fef=""><!--[-->
        <div class="col-12" data-v-92ea5fef="">
          <div class="f-even form-field-container" data-v-92ea5fef=""><!---->
            <div class="form-builder--item form-builder--item-input" data-v-92ea5fef=""><!----><label>How would you rate the cleanliness of our facilities <span>*</span></label><!--[-->
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="1_n11lk5OZA5T8l1a8C1dj_0_pt4l45tltoq" value="1" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="1_n11lk5OZA5T8l1a8C1dj_0_pt4l45tltoq">1</label></div>
              </div>
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="2_n11lk5OZA5T8l1a8C1dj_1_pt4l45tltoq" value="2" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="2_n11lk5OZA5T8l1a8C1dj_1_pt4l45tltoq">2</label></div>
              </div>
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="3_n11lk5OZA5T8l1a8C1dj_2_pt4l45tltoq" value="3" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="3_n11lk5OZA5T8l1a8C1dj_2_pt4l45tltoq">3</label></div>
              </div>
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="4_n11lk5OZA5T8l1a8C1dj_3_pt4l45tltoq" value="4" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="4_n11lk5OZA5T8l1a8C1dj_3_pt4l45tltoq">4</label></div>
              </div>
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="5_n11lk5OZA5T8l1a8C1dj_4_pt4l45tltoq" value="5" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="5_n11lk5OZA5T8l1a8C1dj_4_pt4l45tltoq">5</label></div>
              </div>
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="6_n11lk5OZA5T8l1a8C1dj_5_pt4l45tltoq" value="6" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="6_n11lk5OZA5T8l1a8C1dj_5_pt4l45tltoq">6</label></div>
              </div>
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="7_n11lk5OZA5T8l1a8C1dj_6_pt4l45tltoq" value="7" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="7_n11lk5OZA5T8l1a8C1dj_6_pt4l45tltoq">7</label></div>
              </div>
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="8_n11lk5OZA5T8l1a8C1dj_7_pt4l45tltoq" value="8" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="8_n11lk5OZA5T8l1a8C1dj_7_pt4l45tltoq">8</label></div>
              </div>
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="9_n11lk5OZA5T8l1a8C1dj_8_pt4l45tltoq" value="9" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="9_n11lk5OZA5T8l1a8C1dj_8_pt4l45tltoq">9</label></div>
              </div>
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="10_n11lk5OZA5T8l1a8C1dj_9_pt4l45tltoq" value="10" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="10_n11lk5OZA5T8l1a8C1dj_9_pt4l45tltoq">10</label></div>
              </div><!--]--><!----><!----><!---->
            </div><!---->
          </div>
        </div><!--]-->
      </div>
    </div>
    <div class="form-builder--wrap-questions ghl-question" data-v-92ea5fef="">
      <div class="fields-container row" data-v-92ea5fef=""><!--[-->
        <div class="col-12" data-v-92ea5fef="">
          <div class="f-even form-field-container" data-v-92ea5fef=""><!---->
            <div class="form-builder--item form-builder--item-input" data-v-92ea5fef=""><!----><label>Did you have a hard time locating our facility? <span>*</span></label><!--[-->
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="Yes_5kOUWyoIaNcSbnYJYGym_0_pt4l45tltoq" value="Yes" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="Yes_5kOUWyoIaNcSbnYJYGym_0_pt4l45tltoq">Yes</label></div>
              </div>
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="No_5kOUWyoIaNcSbnYJYGym_1_pt4l45tltoq" value="No" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="No_5kOUWyoIaNcSbnYJYGym_1_pt4l45tltoq">No</label></div>
              </div><!--]--><!----><!----><!---->
            </div><!---->
          </div>
        </div><!--]-->
      </div>
    </div>
    <div class="form-builder--wrap-questions ghl-question" data-v-92ea5fef="">
      <div class="fields-container row" data-v-92ea5fef=""><!--[-->
        <div class="col-12" data-v-92ea5fef="">
          <div class="f-even form-field-container" data-v-92ea5fef=""><!---->
            <div class="form-builder--item form-builder--item-input" data-v-92ea5fef=""><!----><label>Did you find we had a wide enough selection of merchandise? Casket, Vault, Urn <span>*</span></label><!--[-->
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="Yes_gZ6b7wBdTPFvCOjxCu1y_0_pt4l45tltoq" value="Yes" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="Yes_gZ6b7wBdTPFvCOjxCu1y_0_pt4l45tltoq">Yes</label></div>
              </div>
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="No_gZ6b7wBdTPFvCOjxCu1y_1_pt4l45tltoq" value="No" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="No_gZ6b7wBdTPFvCOjxCu1y_1_pt4l45tltoq">No</label></div>
              </div><!--]--><!----><!----><!---->
            </div><!---->
          </div>
        </div><!--]-->
      </div>
    </div>
    <div class="form-builder--wrap-questions ghl-question" data-v-92ea5fef="">
      <div class="fields-container row" data-v-92ea5fef=""><!--[-->
        <div class="col-12" data-v-92ea5fef="">
          <div class="f-even form-field-container" data-v-92ea5fef=""><!---->
            <div class="form-builder--item form-builder--item-input" data-v-92ea5fef=""><!----><label>Was everything fully explained by our funeral director/counselor? <span>*</span></label><!--[-->
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="Yes_NBP44iTwYPJU1K3CM3rh_0_pt4l45tltoq" value="Yes" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="Yes_NBP44iTwYPJU1K3CM3rh_0_pt4l45tltoq">Yes</label></div>
              </div>
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="No_NBP44iTwYPJU1K3CM3rh_1_pt4l45tltoq" value="No" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="No_NBP44iTwYPJU1K3CM3rh_1_pt4l45tltoq">No</label></div>
              </div><!--]--><!----><!----><!---->
            </div><!---->
          </div>
        </div><!--]-->
      </div>
    </div>
    <div class="form-builder--wrap-questions ghl-question" data-v-92ea5fef="">
      <div class="fields-container row" data-v-92ea5fef=""><!--[-->
        <div class="col-12" data-v-92ea5fef="">
          <div class="f-even form-field-container" data-v-92ea5fef=""><!---->
            <div class="form-builder--item form-builder--item-input" data-v-92ea5fef=""><!----><label>How would you rate the value of our goods and services? <span>*</span></label><!--[-->
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="1_2dw6zDMRAtVvWRoDapbR_0_pt4l45tltoq" value="1" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="1_2dw6zDMRAtVvWRoDapbR_0_pt4l45tltoq">1</label></div>
              </div>
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="2_2dw6zDMRAtVvWRoDapbR_1_pt4l45tltoq" value="2" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="2_2dw6zDMRAtVvWRoDapbR_1_pt4l45tltoq">2</label></div>
              </div>
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="3_2dw6zDMRAtVvWRoDapbR_2_pt4l45tltoq" value="3" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="3_2dw6zDMRAtVvWRoDapbR_2_pt4l45tltoq">3</label></div>
              </div>
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="4_2dw6zDMRAtVvWRoDapbR_3_pt4l45tltoq" value="4" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="4_2dw6zDMRAtVvWRoDapbR_3_pt4l45tltoq">4</label></div>
              </div>
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="5_2dw6zDMRAtVvWRoDapbR_4_pt4l45tltoq" value="5" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="5_2dw6zDMRAtVvWRoDapbR_4_pt4l45tltoq">5</label></div>
              </div>
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="6_2dw6zDMRAtVvWRoDapbR_5_pt4l45tltoq" value="6" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="6_2dw6zDMRAtVvWRoDapbR_5_pt4l45tltoq">6</label></div>
              </div>
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="7_2dw6zDMRAtVvWRoDapbR_6_pt4l45tltoq" value="7" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="7_2dw6zDMRAtVvWRoDapbR_6_pt4l45tltoq">7</label></div>
              </div>
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="8_2dw6zDMRAtVvWRoDapbR_7_pt4l45tltoq" value="8" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="8_2dw6zDMRAtVvWRoDapbR_7_pt4l45tltoq">8</label></div>
              </div>
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="9_2dw6zDMRAtVvWRoDapbR_8_pt4l45tltoq" value="9" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="9_2dw6zDMRAtVvWRoDapbR_8_pt4l45tltoq">9</label></div>
              </div>
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="10_2dw6zDMRAtVvWRoDapbR_9_pt4l45tltoq" value="10" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="10_2dw6zDMRAtVvWRoDapbR_9_pt4l45tltoq">10</label></div>
              </div><!--]--><!----><!----><!---->
            </div><!---->
          </div>
        </div><!--]-->
      </div>
    </div>
    <div class="form-builder--wrap-questions ghl-question" data-v-92ea5fef="">
      <div class="fields-container row" data-v-92ea5fef=""><!--[-->
        <div class="col-12" data-v-92ea5fef="">
          <div class="f-even form-field-container" data-v-92ea5fef=""><!---->
            <div class="form-builder--item form-builder--item-input" data-v-92ea5fef=""><!----><label>Were you satisfied with the appearance of your loved one? <span>*</span></label><!--[-->
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="Yes_LCkbpPigmD64MMwfQ886_0_pt4l45tltoq" value="Yes" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="Yes_LCkbpPigmD64MMwfQ886_0_pt4l45tltoq">Yes</label></div>
              </div>
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="No_LCkbpPigmD64MMwfQ886_1_pt4l45tltoq" value="No" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="No_LCkbpPigmD64MMwfQ886_1_pt4l45tltoq">No</label></div>
              </div>
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="N/A_LCkbpPigmD64MMwfQ886_2_pt4l45tltoq" value="N/A" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="N/A_LCkbpPigmD64MMwfQ886_2_pt4l45tltoq">N/A</label></div>
              </div><!--]--><!----><!----><!---->
            </div><!---->
          </div>
        </div><!--]-->
      </div>
    </div>
    <div class="form-builder--wrap-questions ghl-question" data-v-92ea5fef="">
      <div class="fields-container row" data-v-92ea5fef=""><!--[-->
        <div class="col-12" data-v-92ea5fef="">
          <div class="f-even form-field-container" data-v-92ea5fef=""><!---->
            <div class="form-builder--item form-builder--item-input" data-v-92ea5fef=""><!----><label>How did you hear about us? <span>*</span></label><!--[-->
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="Yellow Pages_tP5cFgqPkAAWXtAPWa8y_0_pt4l45tltoq" value="Yellow Pages" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="Yellow Pages_tP5cFgqPkAAWXtAPWa8y_0_pt4l45tltoq">Yellow Pages</label></div>
              </div>
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="Facebook_tP5cFgqPkAAWXtAPWa8y_1_pt4l45tltoq" value="Facebook" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="Facebook_tP5cFgqPkAAWXtAPWa8y_1_pt4l45tltoq">Facebook</label></div>
              </div>
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="Instagram_tP5cFgqPkAAWXtAPWa8y_2_pt4l45tltoq" value="Instagram" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="Instagram_tP5cFgqPkAAWXtAPWa8y_2_pt4l45tltoq">Instagram</label></div>
              </div>
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="Google_tP5cFgqPkAAWXtAPWa8y_3_pt4l45tltoq" value="Google" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="Google_tP5cFgqPkAAWXtAPWa8y_3_pt4l45tltoq">Google</label></div>
              </div>
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="Referral_tP5cFgqPkAAWXtAPWa8y_4_pt4l45tltoq" value="Referral" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="Referral_tP5cFgqPkAAWXtAPWa8y_4_pt4l45tltoq">Referral</label></div>
              </div><!--]-->
              <div class="option-radio"><input id="tP5cFgqPkAAWXtAPWa8y_customfieldvals_pt4l45tltoq" type="radio"><label id="tP5cFgqPkAAWXtAPWa8y_customfieldvals_label" for="tP5cFgqPkAAWXtAPWa8y_customfieldvals_pt4l45tltoq"></label><input
                  for="tP5cFgqPkAAWXtAPWa8y_customfieldvals_label_pt4l45tltoq" type="text" placeholder="Press enter to add custom option" class="add-custom-opt"></div><!----><!---->
            </div><!---->
          </div>
        </div><!--]-->
      </div>
    </div>
    <div class="form-builder--wrap-questions ghl-question" data-v-92ea5fef="">
      <div class="fields-container row" data-v-92ea5fef=""><!--[-->
        <div class="col-12" data-v-92ea5fef="">
          <div class="f-even form-field-container" data-v-92ea5fef=""><!---->
            <div class="form-builder--item form-builder--item-input" data-v-92ea5fef=""><!----><label>Would you recommend our funeral home to others? <!----></label><!--[-->
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="Yes_ucjLiLEVyDzPEDPXZUK1_0_pt4l45tltoq" value="Yes" type="radio" data-required="false"><label style="margin-left:10px;margin-bottom:0;"
                    for="Yes_ucjLiLEVyDzPEDPXZUK1_0_pt4l45tltoq">Yes</label></div>
              </div>
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="No_ucjLiLEVyDzPEDPXZUK1_1_pt4l45tltoq" value="No" type="radio" data-required="false"><label style="margin-left:10px;margin-bottom:0;"
                    for="No_ucjLiLEVyDzPEDPXZUK1_1_pt4l45tltoq">No</label></div>
              </div><!--]-->
              <div class="option-radio"><input id="ucjLiLEVyDzPEDPXZUK1_customfieldvals_pt4l45tltoq" type="radio"><label id="ucjLiLEVyDzPEDPXZUK1_customfieldvals_label" for="ucjLiLEVyDzPEDPXZUK1_customfieldvals_pt4l45tltoq"></label><input
                  for="ucjLiLEVyDzPEDPXZUK1_customfieldvals_label_pt4l45tltoq" type="text" placeholder="Press enter to add custom option" class="add-custom-opt"></div><!----><!---->
            </div><!---->
          </div>
        </div><!--]-->
      </div>
    </div>
    <div class="form-builder--wrap-questions ghl-question" data-v-92ea5fef="">
      <div class="fields-container row" data-v-92ea5fef=""><!--[-->
        <div class="col-12" data-v-92ea5fef="">
          <div class="f-even form-field-container" data-v-92ea5fef=""><!---->
            <div class="form-builder--item form-builder--item-input" data-v-92ea5fef=""><!----><label>Would you like additional information on preplanning for friends or family members? <span>*</span></label><!--[-->
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="Yes_oL21p85D5qAjkULUF1Pb_0_pt4l45tltoq" value="Yes" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="Yes_oL21p85D5qAjkULUF1Pb_0_pt4l45tltoq">Yes</label></div>
              </div>
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="No_oL21p85D5qAjkULUF1Pb_1_pt4l45tltoq" value="No" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="No_oL21p85D5qAjkULUF1Pb_1_pt4l45tltoq">No</label></div>
              </div><!--]--><!----><!----><!---->
            </div><!---->
          </div>
        </div><!--]-->
      </div>
    </div>
    <div class="form-builder--wrap-questions ghl-question" data-v-92ea5fef="">
      <div class="fields-container row" data-v-92ea5fef=""><!--[-->
        <div class="col-12" data-v-92ea5fef="">
          <div class="f-even form-field-container" data-v-92ea5fef=""><!---->
            <div class="form-builder--item form-builder--item-input" data-v-92ea5fef=""><!----><label>Would you like additional information on working through the grief process? <span>*</span></label><!--[-->
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="Yes_ughQTtPcE8YVeapbySJd_0_pt4l45tltoq" value="Yes" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="Yes_ughQTtPcE8YVeapbySJd_0_pt4l45tltoq">Yes</label></div>
              </div>
              <div class="option-radio">
                <div style="display:flex;align-items:center;margin-bottom:5px;"><input id="No_ughQTtPcE8YVeapbySJd_1_pt4l45tltoq" value="No" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="No_ughQTtPcE8YVeapbySJd_1_pt4l45tltoq">No</label></div>
              </div><!--]--><!----><!----><!---->
            </div><!---->
          </div>
        </div><!--]-->
      </div>
    </div><!--]-->
  </div><!----><!---->
</form>

Text Content

SINCE WE HAVE JUST SERVED YOU, YOUR FEEDBACK IS IMPORTANT TO US. WE APPRECIATE
YOU TAKING A FEW MOMENTS TO SHARE YOUR OPINION ON OUR SERVICES. YOUR RESPONSE
COULD ASSIST US IN LEARNING HOW TO PROVIDE GOOD QUALITY SERVICE OR REWARDING OUR
STAFF FOR A JOB WELL DONE.




THANK YOU FOR THE TIME TO CONSIDER TAKING THIS SURVEY.

First Name *

Last Name *

Email *


Phone (Mobile Number) *


I agree to receive marketing messaging from Ducro Funeral Services and Crematory
at the phone number provided above. I understand message frequency varies, data
rates may apply. Reply STOP to opt out.

Privacy Policy | Terms & Conditions


Overall, how would you rate our services? *
Excellent
Good
Fair
Poor
Overall, how would you rate our staff? *
Excellent
Good
Fair
Poor

Who, if anyone, was especially helpful to you? *

Overall, were our staff knowledgeable? *
Very
Somewhat
No
Overall, were our staff responsive? *
Very
Somewhat
No
Overall, how were our staff's attention to detail *
Excellent
Good
Fair
Poor
Did we provide transportation to the service *
Yes
No
If so, how would you rate the cleanliness of our vehicle *
1
2
3
4
5
6
7
8
9
10
How would you rate the cleanliness of our facilities *
1
2
3
4
5
6
7
8
9
10
Did you have a hard time locating our facility? *
Yes
No
Did you find we had a wide enough selection of merchandise? Casket, Vault, Urn *
Yes
No
Was everything fully explained by our funeral director/counselor? *
Yes
No
How would you rate the value of our goods and services? *
1
2
3
4
5
6
7
8
9
10
Were you satisfied with the appearance of your loved one? *
Yes
No
N/A
How did you hear about us? *
Yellow Pages
Facebook
Instagram
Google
Referral

Would you recommend our funeral home to others?
Yes
No

Would you like additional information on preplanning for friends or family
members? *
Yes
No
Would you like additional information on working through the grief process? *
Yes
No
0%



Formulario en Español



June 8, 2022

DEAR MS. SMITH,


Since we have just served you, your feedback is very important to us. We would
appreciate you taking a few moments to share your opinion on our services that
met your expectations or, perhaps, were not as good as you expected. Your
goodwill toward our firm is very important to us - your response could assist us
in learning about something we could have handled better or in rewarding our
staff for a job well done.

Thank you for taking the time to complete this survey.



 * Ms. Dawn Smith
 * 447 N. Woodhill Dr.Amherst, OH 44001

Everything was very professional and organized. We had an incident with my
daughter biological father that I did not anticipate (She was adopted at age 4).
The funeral home didd a great job handlin it. Would definitely recommend. Thank
you for everything during this very rough time.


Signature
June 2, 2022

DEAR MS. PAULA MALICK,


Since we have just served you, your feedback is very important to us. We would
appreciate you taking a few moments to share your opinion on our services that
met your expectations or, perhaps, were not as good as you expected. Your
goodwill toward our firm is very important to us - your response could assist us
in learning about something we could have handled better or in rewarding our
staff for a job well done.

Thank you for taking the time to complete this survey.



 * Ms. Paula Malick
 * 572 Fieldstone Dr.Amherst, OH 44001

Everything was very professional and organized. We had an incident with my
daughter biological father that I did not anticipate (She was adopted at age 4).
The funeral home didd a great job handlin it. Would definitely recommend. Thank
you for everything during this very rough time.


Signature
June 8, 2022

DEAR MR. DARRYL CASSIDY,


Since we have just served you, your feedback is very important to us. We would
appreciate you taking a few moments to share your opinion on our services that
met your expectations or, perhaps, were not as good as you expected. Your
goodwill toward our firm is very important to us - your response could assist us
in learning about something we could have handled better or in rewarding our
staff for a job well done.

Thank you for taking the time to complete this survey.



 * Mr. Darryl Cassidy
 * 13316 Thompson Rd. Vermilion, OH 44089

Everything was very professional and organized. We had an incident with my
daughter biological father that I did not anticipate (She was adopted at age 4).
The funeral home didd a great job handlin it. Would definitely recommend. Thank
you for everything during this very rough time.


Signature
June 2, 2022

DEAR MRS. CAROLYN ANDERSON,


Since we have just served you, your feedback is very important to us. We would
appreciate you taking a few moments to share your opinion on our services that
met your expectations or, perhaps, were not as good as you expected. Your
goodwill toward our firm is very important to us - your response could assist us
in learning about something we could have handled better or in rewarding our
staff for a job well done.

Thank you for taking the time to complete this survey.



 * Mrs. Carolyn Anderson
 * 1281 Spruce Tree lane Amherst, OH 44001

Everything was very professional and organized. We had an incident with my
daughter biological father that I did not anticipate (She was adopted at age 4).
The funeral home didd a great job handlin it. Would definitely recommend. Thank
you for everything during this very rough time.


Signature
June 2, 2022

DEAR MR. CHARLES REASER,


Since we have just served you, your feedback is very important to us. We would
appreciate you taking a few moments to share your opinion on our services that
met your expectations or, perhaps, were not as good as you expected. Your
goodwill toward our firm is very important to us - your response could assist us
in learning about something we could have handled better or in rewarding our
staff for a job well done.

Thank you for taking the time to complete this survey.



 * Mr. Charles Reaser
 * 45217 Russia Rd. Oberlin, OH 44074

Everything was very professional and organized. We had an incident with my
daughter biological father that I did not anticipate (She was adopted at age 4).
The funeral home didd a great job handlin it. Would definitely recommend. Thank
you for everything during this very rough time.


Signature



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