2017 General Price List Survey for Year Ending 12/31/2016

• To be completed by the owner/manager of the funeral establishment.

• All data is confidential.

• Please complete this survey no later than Friday, September 8, 2017.

• For pricing questions, please enter numbers only. Do not use dollar signs ($), commas (,), decimal points (.), etc. For example, if you charge $1,800 for your nondeclinable basic services fee, please enter 1800.

• If you prefer to provide your GPL data using a paper survey, please contact Deana Gillespie at dgillespie@nfda.org or 262-814-1522 and we will email/mail one to you.

Question Title

* 1. Service Fees - Please list whole dollar amounts in boxes below.

5% of survey complete.