Gresham Funeral Chapel : Our Family Serving Yours

257 SE Roberts, Gresham, OR 97080
Phone: 503-618-8176

Please fill out the following questionaire, so we may better serve your needs.


Have you ever been responsible for making funeral arrangements?	Yes No

In the event of your death, who would be responsible for making the arrangements?	Spouse Children Other

How much might you expect to pay for a funeral?	Under $1,000 $2,000 $4,000 $6,000 More than $6,000

Would you like to receive current information on available Social Security & Veterans burial benefilts?	Yes No

Are you aware that Advance Funeral Planning can help you qualify for Medicaid?	Yes No

If you have given any thought to the subject, which would you choose for yourself?	Burial Cremation
Would it give you peace of mind to plan in advance and not leave the burden to your loved ones?	Yes No

Would you like to receive free information about how much you can save by planning ahead?	Yes No