Pre-planning survey

1	Which of the following would you choose for yourself?
	Burial
	Cremation
	Not Sure

2	Do you have up-to-date biographical information and accurate family records to help loved ones with your funeral planning?
	Yes
	No

3	If you family had to arrange your funeral today because you hadn't already done it, what would worry you the most?
	They wouldn't know what I wanted and might make wrong decisions or overspend because of emotions
	The financial strain I would have put on them
	The potential for disagreement/conflict amojng them about the decisions to make

4	Do you feel a "Personal Cost Estimate" would be helpful in planning your or a loved ones' funeral?
	Yes
	No

5	Would it give you peace of mind to know that you could do your planning in advance and that your family would not have to make the arrangements themselves?
	Yes
	No

6	Are you aware that you can save money by pre-paying funeral expenses and your cost will be guaranteed for life?
	Yes
	No

7	Are you aware that you can protect some of your assests by pre-paying funeral expenses before applying for Medicaid?
	Yes
	No

8	Are you aware that Greenlawn Cemetery, Inc. in Peachtree owns the only crematory in North Carolina west of Franklin and Bryson City?
	Yes
	No

9	As part of our community service program, we offer the following services. Would you like to receive information on any of the following?
	Funeral Cost Information
	Social Security Benefits
	Affordable Payment Options
	Veteran's benefits
	Cremation options
	Cemetery lots at Greenlawn Memorial Gardens - our areas only perpetual care cemetery

10	Would you like to receive a complimentary Guide to Planning Ahead.
	Yes
	No

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