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J.J. Patterson and Sons Funeral Residence Limited

19 Young Street,
Welland, ON L3B 4C5
905-735-5713
jjpatterson@bellnet.ca

Survey Form

Surveys can assist us greatly in understanding the needs and views from the community. We do appreciate and value all of your feedback.  The information we gather is used to help us to improve on service.  J.J. Patterson & Sons is constantly adapting to the specific needs of the community.


Personal Information
Name:
Address:
City:
Province / State:
Postal / Zip Code:
Phone Number:
You are? Married  Single  Widowed
 
Your age?
 
Do you have Children? Yes No
 
If so, How many Children?
 
Employment Status? Working  Retired
 
Survey Information
Do you have a Will? Yes  No
 
Has it been updated lately? Yes  No
 
Have you ever made funeral arrangements before? Yes  No
 

If 'Yes':		  

Within the Past Year  1 to 3 Years  Over 3 Years
 
How much do you think funerals cost?
$500 - $999  $1,000 - $1,999 $2,000 - $3,999
$4,000 - $5,999 $6,000 - $8,500 Over $8,500

Have you been informed that Pre-Arranged and Funded funeral plans exist?

Yes  No
 
Do you have a pre-paid funeral plan?

Yes  No
 
If "No", have you ever considered a prepaid funeral plan?

Yes  No
 
Have you purchased Life Insurance to help pay for your funeral arrangements?

Yes  No
 
If "Yes", does the beneficiary understand the policy and the reason for having this policy?

Yes  No
 
When choosing your arrangements, would you choose?
Burial  Cremation  Mausoleum  Entombment  Not Sure
 
Have you purchased cemetery property?

Yes  No
 
In the event of your death, who will be responsible for making your funeral arrangements?

Spouse  Children Other family member  Other
 
Who will be responsible for making the payment of your arrangements?

Spouse  Children Other family member  Other
 
Does the person making the arrangements know of all your preferences, including casket, flowers and services?

Yes  No
 
Would making your own arrangements give you peace of mind knowing that you have planned and paid for your own funeral arrangements?

Yes  No
 
Do you feel that making your own funeral arrangements are as important as keeping your life insurance and will up to date?

Yes  No
 
If you have any further comments or questions that we help us then please use the box that we have provided below:


 

 

Book of Memories

The pinnacle of memorialization, any family member or friends can take advantage of this free services by creating an account and a book to memorialize their loved one.

Immediate Need

If you have immediate need of our services, we're available for you 24 hours a day.

Obituaries & Tributes

It is not always possible to pay respects in person, so we hope that this small token will help.

Pre-Arrangement

Dying is one of the few events in life that's certain to occur, yet one we rarely plan for. Should we spend more time preparing for a two week vacation than we do our last days on Earth?

Expressions of Sympathy

It can be difficult to find the right words, so we have hand-picked a collection of sympathy and remembrance gifts that will be cherished.

Order Flowers

Offer a gift of comfort and beauty to a family suffering from loss.

Daily Grief Support by Email

Grieving doesn't always end with the funeral: subscribe to our free daily grief support email program, designed to help you a little bit every day, by filling out the form below.

Weekly Email Tips to Support a Grieving Friend

It's hard to know what to say when someone experiences loss. Our free weekly newsletter provides insights, quotes and messages on how to help during the first year.

Proudly Serving the Community of Welland
905-735-5713 J.J. Patterson and Sons Funeral Residence Limited
19 Young Street
Welland, ON L3B 4C5
Email: jjpatterson@bellnet.ca 905-735-5713 J.J. Patterson and Sons Funeral Residence Limited
19 Young Street
Welland, ON L3B 4C5
Email: jjpatterson@bellnet.ca 905-735-5713 J.J. Patterson and Sons Funeral Residence Limited
19 Young Street
Welland, ON L3B 4C5
Email: jjpatterson@bellnet.ca 905-735-5713 J.J. Patterson and Sons Funeral Residence Limited
19 Young Street
Welland, ON L3B 4C5
Email: jjpatterson@bellnet.ca 905-735-5713 J.J. Patterson and Sons Funeral Residence Limited
19 Young Street
Welland, ON L3B 4C5
Email: jjpatterson@bellnet.ca