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(204) 346-1030
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birchfc@mymts.net
BFC Service Evaluation
Service Evaluation
Name
*
:
Email
*
:
Name of Deceased
*
:
Which funeral director served you or your family?
*
:
Todd Harder
Kris Bachmeier
Brad Unger
Sheldon Schroeder
Jordan Martens
How would you describe the overall quality of service you received from the funeral director and support staff?
*
:
Excellent
Good
Fair
Poor
How satisfied were you with the following?
Courtesy of staff
*
:
Extremely Satisfied
Satisfied
Neutral
Dissatisfied
Extremely Dissatisfied
N/A
Attention to detail
*
:
Extremely Satisfied
Satisfied
Neutral
Dissatisfied
Extremely Dissatisfied
N/A
Cleanliness of facilities
*
:
Extremely Satisfied
Satisfied
Neutral
Dissatisfied
Extremely Dissatisfied
N/A
Quality of funeral/memorial service
*
:
Extremely Satisfied
Satisfied
Neutral
Dissatisfied
Extremely Dissatisfied
N/A
Preparation and appearance of loved one/friend
*
:
Extremely Satisfied
Satisfied
Neutral
Dissatisfied
Extremely Dissatisfied
N/A
Accuracy and design of memorial cards and stationary
*
:
Extremely Satisfied
Satisfied
Neutral
Dissatisfied
Extremely Dissatisfied
N/A
Quality and selection of reception catering (if provided by Birchwood)
*
:
Extremely Satisfied
Satisfied
Neutral
Dissatisfied
Extremely Dissatisfied
N/A
Selection of caskets/urns
*
:
Extremely Satisfied
Satisfied
Neutral
Dissatisfied
Extremely Dissatisfied
N/A
Price of services offered
*
:
Extremely Satisfied
Satisfied
Neutral
Dissatisfied
Extremely Dissatisfied
N/A
What influenced you to choose Birchwood Funeral Chapel? Please select all that apply.
*
:
Previous Service
Reputation
Recommended by Family or Friends
Location
Birchwood Co-op Membership
Pre-Arrangement with Funeral Chapel
Request of the Deceased
Prices
Google/Website/Social Media
Other
Please share any other comments or suggestions you may have:
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Home
About Us
Our Staff
Map & Directions
Our Facilities
Contact Us
Testimonials
Our History
At-Need
When Death Occurs
Burial Services
Cremation Services
Eulogies & Obituaries
Funeral Etiquette
Funeral Merchandise
About Pre-Planning
Resources
Grief Resources
Legal Advice
Local Florists
FAQ
Calendar of Events
Obituaries