Formaldehyde Usage Study

Please have the primary embalmer at your funeral home complete this survey. Thank you for giving us your input.

Question Title

* 1. How many locations does your firm have?

1

2

3

4

5

6

If more than 6, please specify number

Question Title

* 2. How many of your firm’s locations have an embalming facility?

1

2

3

4

5

6

If more than 6, please specify number

Question Title

* 3. How many embalmers work at your firm (include all locations)?

Question Title

* 4. Do you hire any trade/free-lance any embalmers?

Yes

No