JOCES GONZALES FUNERAL HOMES

CUSTOMER FEEDBACK FORM

Name of Deceased: _____________________

Date of Death: _________________________

We are continually looking at how we can improve the service that we provide and it will help us greatly if you can afford a
few minutes of your time to complete the following questionnaire. It may be that you were entirely satisfied with the
funeral arrangements, but have an idea as to what we could do better, or there is something that we could have done
differently that would have made a big difference to your family.

Please do make any comments that you feel will assist us in further improving our service.

I. Why did you choose JOCES GONZALES FUNERAL HOMES?

Reputation

Geographical closeness/Location

JOCES have cared for your family before

Price competitive
Visited home/met with staff member
At the request of the deceased
Have attended a funeral service conducted by us

II. How did you hear about us?

Family
Friends
Doctor
Clergy
Residential/Nursing Home
Website
From an advertisement
**If so, specify: ______ (i.e., Radio, LED Bulletin Board,etc)
Other: ______________________

III. Please indicate your level of satisfaction with the service provided. Put a check mark to your respective rate:
SUBJECT VERY SATISFIED SLIGHTLY VERY
SATISFIED DISSATISFIED DISSATISFIED
Initial contact with us
Ease of contacting us
Speed of our response to your
inquiry, request or concern on
our page or messenger
account
MEETING TO ARRANGE THE SERVICE
Making you feel comfortable
and at ease
Did our staff listen to your
needs and wishes?
Were the funeral costs
explained clearly?
Did you feel that we had fully
explained to you the
inclusions of the package that
you have availed?
 SUBJECT VERY SATISFIED SLIGHTLY VERY
SATISFIED DISSATISFIED DISSATISFIED
Did you feel we had kept in
sufficient contact with you
from our initial contact to the
day of the interment?
WAKE ARRANGEMENT
Arrangement of the landscape
Were the items promised to
be given (as inclusions of the
package obtained) delivered,
accordingly?
The atmosphere and quality
of the arrangement for the
wake.
COFFIN
Was the coffin provided to
your loved one looked the
same way as what was shown
to you in the brochure?
ARRANGEMENT OF THE CADAVER
Was your loved one presented in accordance with your wishes in terms of his/her:
Cosmetics applied
Clothing provided (if
applicable)
Hairstyle
Arrangement
SERVICE
Were the flowers delivered
timely?
Timeliness of serenade. Were
our team of singer and
organist made it on time to
serenade your family?
Quality of serenade. Were you
satisfied with our singer and
organist’s performance?

INTERMENT
Did our team arrive at your
house on time?
Were you guided by our team
during the interment?

IV. THE FUNERAL

1. During the duration of the service, did everything meet your expectations?
_____ Yes _____ No
If no, please specify why:

2. Was there any part of our service at the funeral that exceeded your expectations?
_____ Yes _____ No
If no, please specify why:
 3. Were our vehicles clean and comfortable?
_____ Yes _____ No
4. Were your wishes and arrangement carried out in every detail?
_____ Yes _____ No
5. Is there anything we can do to improve our services to future families?

6. Would you recommend our services?

_____ Whole-heartedly
_____ Yes
_____ With reservation
_____ No
7. Overall, have we exceeded your expectations?
_____ Yes _____ No
Are there any further comments you would like to make?

8. A quote from a family about our service can be very helpful to a bereaved family when selecting a funeral
director. Would you be happy to give your permission for your comments to be shared on our website and
social media sites?
_____ Yes ______ No

Source: This survey is based on Rosedale Funeral Home in UK.

***Applicable if rented our CHAPEL: ___ JOCES BIDAY ____ JOCES BAUANG

SUBJECT VERY SATISFIED SATISFIED SLIGHTLY VERY

DISSATISFIED DISSATISFIED
Ambiance and quality
of the chapel
The arrangement for
the chapel visit
Was the cleanliness of
our chapel
maintained during
your first day of stay
until the last day?
Was your loved one
presented in
accordance with your
wishes?
Were our staffs able to
help you all
throughout your stay
in our chapel?
Cleanliness of the
restroom