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Please take 2 Minutes of Your time to complete the questionnaire and Receive Your
Have you ever been responsible for making funeral arrangements?
Yes, within past 2 years
Yes, within past 5 years
Yes, within past 10 years or more
If yes, the arrangements were made for?
How old are you?
In the event of your death, who would be responsible for making your arrangements?
Which of the following would you choose for yourself?
Burial with services
Direct burial/minimal or no services
Cremation with services
Direct cremation/no services
How much might you expect a funeral (burial or cremation) to cost?
$5,000 - $10,000
Are you aware that your pre-arrangements can be easily transferred should you relocate?
How familiar are you with public aid, veterans benefits, state and local requirements as it pertains to your funeral?
Not familiar at all
Would you like us to contact you for our next Lunch & Learn Seminar on Pre-Planning your funeral?
Which one is most important to you?
Prefunding/Affordable Payment Plans
Transfer Existing PreArrangements
Get My FREE Planning Guide
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DeJohn Funeral Homes