Heafey Heafey Hoffman Dworak and Cutler - Omaha Nebraska Funeral Home, Mortuary and Crematory
 
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Mortuary and Crematory, Funeral Services, Omaha Nebraska
Omaha Nebraska Funeral Home, Mortuary and Crematory
Heafey Heafey Hoffman Dworak and Cutler - Omaha Nebraska funeral homes, mortuaries and cremation
125 years of service to Omaha Nebraska area - funeral homes, mortuary, cremation

It would help us greatly if you would answer the questions on this survey.  Your answers will help determine where our future time and resources need to be focused.

All answers will remain confidential. 

1.  What is your age group?
Under 25        41-65
26-40        66 or older
2.  Have you ever made funeral arrangements for a loved one?
Yes        No
3.  If yes, did you choose the funeral home because…
Reputation in the community        Our family has used this funeral home before
Newspaper/Phone book        Comparative Pricing
4.  Do you own cemetery property?
Yes        No
5.  Where do you read the obituary information?
Newspaper        Newspaper Online
Funeral Home Website
6.  Would information on donating your organs be of value to you?
Yes        No
7.  If you have lost a loved one, would a follow-up visit (after the service) about extended programs available be of value to you?
Yes        No
8.  Is Advanced Funeral Planning something that:
You’ve heard about        You would like to know more about
You have considered        Other family members have done
9.  Are your loved ones aware of your funeral preferences?
Yes        No
10.  If you had to decide today, which would you select:
Anatomical Donation        Funeral service with a casket
Memorial Service        Graveside Only
11.  To offer you the most in personalization, please indicate which of the following you would be interested in for yourself or a family member: (Check items of interest)
Balloon Release        Multi-Media Presentation (Slides, Video, ect)
Dove Release        Service in a unique location
Evening Services        Celebration of Life Service (Music, Speakers)
Patriotic Theme        Other: 
12.  I would be interested in receiving more information on preplanning
Yes        No
If Yes,
      Please Call        Please Mail
      Please Email        Would like to meet at Funeral Home
13.  Advance Funeral Planning is available for everyone regardless of age or situation. Your wishes and preferences can be recorded and payments can be arranged to guarantee current prices. Pre-payments can be made in full or can be extended for as long as needed to accommodate you and your family. There’s no cost or obligation for inquiring and we encourage everyone to learn the facts and benefits of preplanning. Would you like to learn more about how this can work for you?
Yes        No - Not at this time
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