Funeral Directors Assistance
In our constant striving to serve our families, we welcome your requests and comments. To satisfy your needs and provide the service you require, we ask that you take a few moments to tell us of any concerns or conditions that we can correct, to keep us updated if you have a change of address, and to give us feedback about any service we have provided. This kind of communication will help us meet your expectations.
Please do not use this form for Genealogy Research
REQUEST FOR SERVICE
*Indicates required information
Is this a change of address notification? YES
Do you have a question regarding your account billing or items purchased? ? YES
If yes to any of the above, please provide: Choose Cemetery or Mausoleum: SELECT ONE... CHRIST THE KING CEMETERY GATE OF HEAVEN CEMETERY GATE OF HEAVEN CHAPEL MAUSOLEUM GOOD SHEPHERD CHAPEL MAUSOLEUM HOLY CROSS CEMETERY HOLY CROSS MAUSOLEUM HOLY NAME CEMETERY HOLY SEPULCHRE CEMETERY MARYREST CEMETERY SAINT GERTRUDE CEMETERY Contract Number(s):
Choose Cemetery or Mausoleum: SELECT ONE... CHRIST THE KING CEMETERY GATE OF HEAVEN CEMETERY GATE OF HEAVEN CHAPEL MAUSOLEUM GOOD SHEPHERD CHAPEL MAUSOLEUM HOLY CROSS CEMETERY HOLY CROSS MAUSOLEUM HOLY NAME CEMETERY HOLY SEPULCHRE CEMETERY MARYREST CEMETERY SAINT GERTRUDE CEMETERY
Contract Number(s):
For Grounds Service requests please provide: Grave/Crypt/Niche Location # Deceased Name
For Grounds Service requests please provide:
Grave/Crypt/Niche Location #
Deceased Name
Please indicate the concern or service you would like us to see to in the area provided below:
SATISFACTION SURVEY
IF YOU PRE-ARRANGED SERVICES we would like to know:
Did our staff serve you fully? YESNO
Did they present themselves professionally? YESNO
Do you feel you received all the information you needed to make a decision with which you were comfortable? YESNO
Do you feel the price you paid was fair and reasonable? YESNO
IF YOU RECENTLY HAD A BURIAL SERVICE HERE, please accept our heartfelt sympathy at the loss of your loved one. We would like to know how we performed.How would you rate the overall service we provided to you and your family? Very Satisfied SatisfiedSomewhat DissatisfiedVery Dissatisfied
Were our facilities and grounds up to your expectations? Very Satisfied SatisfiedSomewhat DissatisfiedVery Dissatisfied
Was our staff professional and helpful? Very Satisfied SatisfiedSomewhat DissatisfiedVery Dissatisfied
IF YOU RECENTLY REQUESTED SERVICE AT A GRAVE, CRYPT OR NICHE, we would like to know:
Did our staff respond to your request for service fully? YESNO
Did the person who assisted you seem to understand your problem and know how to correct it? YESNO
Was your concern responded to fully and in a timely manner? YESNO
Would you recommend us to a friend or relative? YESNO
Additional Comments:
Would you like us to contact you to discuss your comments further? YESNO
In what method would you prefer to be contacted ? EmailTelephoneUS Mail
Email Address:
Phone:
Best Time to Call DayEvening between 7pm and 9pm