Beruflich Dokumente
Kultur Dokumente
FH3
FH4
Actual Signature
<Name>, <Title1>
over please
If this survey reaches you at a time of illness or loss, please accept our sincere apologies.
Forethought funeral planning is funded through the purchase of whole life insurance from Forethought Life Insurance Company, Indianapolis, Indiana. A representative of the funeral home, who may also be a licensed agent of Forethought Life, is available to answer any questions you may have.
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FAMILY SURVEY
Thank you for completing and returning this survey in the enclosed, postage-paid envelope. 1. What is your age? o Under 40 o 4165 o 6680 o 81 or older 2. Are you currently? o Employed o Retired 3. Have you ever been responsible for making funeral arrangements? o Yes o No If yes, was it: o Within 12 months o 1224 months o Over 2 years ago 4. Are you aware that you can plan and fund your funeral in advance? o Yes o No 5. Have your ever considered funding your funeral plan? o Yes o No o I dont know 6. How much might you expect to pay for a funeral? o Under $3,000 o $3,001$6,000 o $6,001$9,000 o Over $9,001 7. If you have given any thought to this subject, which of the following would you prefer for yourself? o Burial o Cremation
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8. Have you made plans and arrangements for Cemetery or Mausoleum space? o Yes o No 9. Would you like additional free information about the financial benefits to funeral planning and the type of services which are available? Please check the items of interest: o Free funeral cost estimate o Free information on the benefits of funeral planning o Free information on federal social security and veterans benefits o Free information on burial space
Name ______________________________________________________ Phone ______________________________________________________ Best time to call ______________________________________________________ Email ______________________________________________________
You are permitted to call me at home. ____________ /____________
INITIALS / DATE