Pre-Planning – Skradski Family Funeral Homes

Contact info for Pre-Need Counselor:
George J. Van Dreel
(906) 428-3220

PRE-ARRANGED FUNERAL QUESTIONAIRE

Today, more and more people are pre-planning their funerals. Pre-planning, or pre-arranging, is simply taking care of your funeral details before the need arises. These could include whether you would like a traditional funeral or a simple memorial service. A burial or cremation. It also includes making decisions ahead of time on specific items such as place, decorations, people you would like to notify, flowers, clothing and other items important to you.

Funeral Information
Name*
First Last
Email*
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Birthday
MM slash DD slash YYYY
Place of Birth
Usual Occupation
Education Grade Level
Father's Name
Mother's Name
Mother's Maiden Name
Veteran
- Yes
Marital Status
Marriage Place
Spouse
Survivors
Contact Information
Contact Person
First Last
Address
Street Address Address Line 2 City State ZIP Code
Phone
Preferences
Preferred Church
Preferred Officiant
Disposition Preference
Comments
Service to be held at
Friends Calling
Casket
Organization Participating
Participating fraternal, military or service organization:
Obituary
- Yes, I want an Obituary
Newspaper(s)
Pallbearers Selected by:
Casket
Vault
Flowers (type)
Favorite literature or religious passage/verse
Favorite musical selection
Specific requests to be performed at service
Contributions (Name of charity)
Flag (If Veteran)
Flag given to
Specific Clothing
Glasses
Jewelry
Cemetery property owned
Cemetery
Cemetery
Location:
Space
Lot
Vault
Marker
City State / Province / Region

PRE-ARRANGED FUNERAL QUESTIONAIRE

Funeral Information

Contact Information

Preferences

Cemetery