Direct Mail Survey

As a THANK YOU for filling out this survey, we will give you an Amazon gift card! By checking yes, I am affirming that I understand that the gift card will be delivered to me in person after completing an in-person appointment with a representative. To be eligible, I must not have any existing pre-need contract on file with your organization. *

Yes

Full Name *

Address

Street Address *

City *

State *

Postal Code *

Cell # *

Email *

Best Time to call *

AM

PM

What is your current age? *

0-49

50-59

60-69

70-79

80-89

90+

Have you ever been responsible for making funeral arrangements? *

Never

In last 12 months

Over 1 year ago

Please list the name of the funeral home you would call in case of a family emergency *

Do you have up-to-date biographical and accurate records to help a loved one with your final arrangements? *

Yes

No

What type of service do you desire? *

Burial

Cremation

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

Spouse

Children

Family Member

Other

Are you going to be personally responsible for making funeral arrangements for a loved one or close friend? *

Yes

No

Have you ever considered a prepaid funeral plan? *

Yes

No

Would it give you peace of mind to know you could do the planning in advance and that your family would not have to make arrangements? *

Yes

No

Would you like FREE information about funeral planning and the types of services which are available?

Yes

No

Would you like FREE information about funeral planning and the types of services which are available?

Pre-planning Guide

Cremation Information

Veteran's Benefits

Funeral Information

Thank you for filling out our survey. A representative will reach out soon to schedule an in-person appointment to deliver your Amazon gift card.

NEXT

Copyright © 2025 Strode Funeral Home and Cremation All Right Reserved