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Questionnaire

We are committed to the highest level of services in our community. As such, we would appreciate if you could take a moment to complete the following questionnaire. All feedback we receive will be used to improve our quality of service.

My initial contact with the funeral home left me feeling (check applicable boxes)
Confident   
Relieved   
Unsure   
Apprehensive   
Worried   
Where did you find the funeral home's phone number or e-mail address? (check applicable boxes)
Yellow pages   
White pages   
Newspapers   
Internet   
Others :
What was your reason for choosing our funeral home? (check applicable boxes)
Reputation   
Prior services   
Reference
Others :
Was the staff courteous ?    Yes    No
Comments:
The following describes my Funeral Director (check applicable boxes)
Helpful   
Friendly   
Considerate   
Easy to talk with   
Kind   
Pushy   
Rude   
Inconsiderate   
Pressures me   
Unkind
Comments:
My Funeral Director explained the funeral service options well?
   Yes    No
Comments:
Was the funeral service provided to your satisfaction?    Yes    No
Comments:
What could we have done differently ?
Would you like to receive information about funeral pre-planning ?    Yes    No
Name (optionnal):
Email :
Address
Phone number
City
Additional Comments/Suggestions



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Salon Funéraire Familial Berthiaume Family Funeral Home Inc.
416, McGill Street, Hawkesbury, Ontario, K6A1R2
BE 1579, Administrator Jean-René Berthiaume
© 2026 . All Rights Reserved. Salon funéraire familial Berthiaume.