NCA Funeral Director ENG22_PROOF2

NCA Customer Satisfaction Surveys

NCA Funeral Director ENG22_PROOF2

OMB: 2900-0571

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OMB Control Number 2900-0571
Estimated Completion Time: 20-30 Minutes

U.S. DEPARTMENT OF VETERANS AFFAIRS
NATIONAL CEMETERY ADMINISTRATION

2022 FUNERAL DIRECTOR SATISFACTION SURVEY

(National Cemeteries, VA Memorial Products, and State/Tribal Veterans Cemeteries)

VA may not conduct, sponsor, or require the respondent to respond to this collection of information unless it displays a valid
OMB Control Number. All responses to this collection are voluntary. Public reporting burden for this collection of information
is estimated to average 20 minutes per response, including the time necessary for reviewing instructions, searching existing data
sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. The information
collected is intended to be used in making improvements in services within the National Cemetery Administration of the
Department of Veterans Affairs and for associated administrative purposes. Failure to furnish the requested information will have
no adverse effect on any VA benefit to which you may be entitled.
The information you supply will be confidential and protected by the Privacy Act of 1974 (5 U.S.C. 522a) and the VA’s
confidentiality statute (38 U.S.C. 5701) as implemented by 38 CFR 1.526(a) and 38 CFR 1.576(b). Disclosure of information
involves releases of statistical data and other non-identifying data for the improvement of services within the National Cemetery
Administration and for associated administrative purposes. Please send any comments regarding this burden estimate or any other
aspect of this collection, including suggestions for reducing this burden, to VA Clearance Officer (005G2), 810 Vermont Ave., NW,
Washington DC 20420. SEND COMMENTS ONLY. DO NOT SEND THIS FORM OR REQUESTS FOR BENEFITS TO THIS
ADDRESS.

Marking Instructions

The survey will take about 20-30 minutes to complete.

Please read each question carefully and respond by filling in the
circle of the response that most closely represents your opinion.

Correct Mark

Incorrect Marks

   

   

• Use pencil or pen. Make heavy dark marks that fill the circles completely. If you wish to change an answer, erase cleanly
(pencil) or put an “X” over the incorrect response (pen).
• Fill in one answer circle for each question unless it tells you to “mark all that apply.”
• When you are finished, please place the questionnaire in the enclosed postage-paid envelope and put it in the mail.

If you have any questions or concerns, please contact the Survey Help Line at 1-833-231-7069
or [email protected].

BARCODE
NATIONAL CEMETERY ADMINISTRATION

< MasterID >

295128-2

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SEE MARKING INSTRUCTIONS ON THE COVER.

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NATIONAL CEMETERIES SATISFACTION SURVEY
IMPORTANT – PLEASE ANSWER BEFORE PROCEEDING: Did you conduct business at a National Cemetery
during the 2021 calendar year?
 Yes -> Go to Question 1
 No -> Go to the Memorial Products Service Satisfaction Survey on Page 5

1.	In the survey packet,
look at the form labeled
“INSTRUCTIONS FOR
COMPLETING THE
NATIONAL CEMETERIES
SATISFACTION SURVEY
QUESTION 1” to identify
which national cemetery
you most frequently do
business with and fill in
the corresponding number
in the spaces to the right.

6. 	Do you feel that you are well informed by the
national cemetery of its policies and procedures?









 
9 

Please complete this survey based
on your experiences at this national
cemetery within the 2021 calendar year.









8


2.	How far is your funeral home from the national
cemetery with which you most frequently do
business?
	
	
	

 Less than 15 miles	
 15 to 29 miles	
 30 to 44 miles	

 45 to 59 miles
 60 to 75 miles
 More than 75 miles

3. 	How long has your funeral home worked with
the national cemetery?	
	
	
	

 Less than 1 year	
 1 to 4 years	
 5 to 8 years	

 9 to 12 years
 13 years or more
 Don't Know

4. 	Of the eligible Veteran families you serve,
approximately what percent choose burial in
the national cemetery?	
	
	
	
	






1-4%	
5-9%	
10-14%	
15-24%	

 25-49%
 50-74%
 75-100%

5. 	How would you characterize the overall
communication from the national cemetery to
your funeral home?
	
	
	
	






Excellent
Good
Fair
Poor	

< MasterID >

-2-

	
	
	

 Yes, well informed
 Yes, somewhat well informed
 No, not well informed

7. 	In general, of the following services, which one
provides you the MOST information about national
cemetery policies and procedures? (Mark only one)
	
 VA/NCA Website
	
 Outreach by cemetery staff
	
 V
eterans Service Officers
	
 P
rofessional associations/conventions/meetings
	
 Local newspaper/television news reports
	
 Public events (e.g., parades, exhibits, speeches)
	
 Other (specify):___________________________
8.	What national cemetery policies or procedures do
you feel you could use more information about?
(Mark all that apply)
	
	
	
	
	
	
	
	

None, I feel well informed
S
cheduling process
E
ligibility requirements for burial in a national cemetery
Floral policy
Military funeral honors
Headstone, marker, or columbarium niche

cover inscription options
 
Presidential Memorial Certificate (the certificate
signed by the President of the United States
honoring the Veteran’s service)
 Other (specify):___________________________








For information about the Presidential Memorial Certificate
(the certificate signed by the President of the United States
honoring the Veteran’s service) or to order more copies,
please visit our web page at www.cem.va.gov/pmc.asp.
9.	What is the best way for the national cemetery
to communicate with your funeral home regarding
changes in its policies and procedures?
(Mark only one)
	
	
	
	
	
	








Email
Letter

Phone

Fax

VA/NCA Website

Newsletter or flyer


SEE MARKING INSTRUCTIONS ON THE COVER.

Correct Mark    

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10.	Overall, how satisfied are you with the
communication between your funeral home
and the national cemetery?

17.	Do you understand the inscription options for
the headstone, marker, or columbarium niche
cover available to next of kin?

	
	
	
	
	

	







Very satisfied
Somewhat satisfied
Neither satisfied nor dissatisfied
Somewhat dissatisfied
Very dissatisfied

11.	Overall, how would you compare the level of
service you receive from the national cemetery
with the level of service you receive from
private cemeteries?
	
	
	
	
	
	








Superior to private cemeteries
Better than private cemeteries
About the same
Worse than private cemeteries
Much worse than private cemeteries
Don’t know/not applicable

12.	Do you understand the eligibility requirements
for burial in a national cemetery, including
eligibility for National Guard, Reservists, and
Veteran dependents?
	

 Y
es	

 N
o

For general information about eligibility for interment at a
national cemetery, please visit our web page at
www.cem.va.gov/cem/burial_benefits/eligible.asp.
13.	Are you aware there are resources available
for Funeral Directors on the NCA website?
	

 
Yes	

 
No-> Go to #17

14.	Are you aware that the Funeral Director
resources on the NCA website have links to
the NCA videos illustrating different committal
service options at VA national cemeteries?
	

 
Yes	

 
No

15.	Do you find the NCA videos illustrating
committal services useful in explaining to
a family what to expect when scheduling a
service at a VA national cemetery?
	
	
	

 Y
es
 N
o
 D
id not view the videos

16.	Would you find it useful to have CD copies of
NCA videos illustrating committal services to
give to families?
	

 
Yes	

 
No

18. 	How easy is the process of scheduling an
interment at the national cemetery?
	
 Very easy
	  Somewhat easy
	  Neither easy nor hard
	  Somewhat hard
	  Very hard
19. 	Overall, how satisfied were you with the length
of time you were on the phone to schedule
an interment with the National Cemetery
Scheduling Office?
	
	
	
	
	







Very satisfied
Somewhat satisfied
Neither satisfied nor dissatisfied
Somewhat dissatisfied
Very dissatisfied

20.	During committal services, how often do
you receive the support you need from
cemetery staff?
	
	
	
	






Always
For the most part
Occasionally
Never

21. 	Generally, how often do committal services at
the national cemetery start on time?
	
	
	
	






Always
For the most part
Occasionally
Never

22.	If you are delayed in arriving at the national
cemetery for a scheduled service, how
successful is the cemetery in adjusting the
schedule to accommodate the family?
	
	
	
	
	
	








Very successful
Somewhat successful
Neither successful nor unsuccessful
Somewhat unsuccessful
Very unsuccessful
Don’t know/Not applicable

 
Yes		  
No

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< MasterID >

SEE MARKING INSTRUCTIONS ON THE COVER.

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23. H
 ow easy is it to schedule military honors at
the national cemetery?

24.	To what extent is the quality of military honors
acceptable?

	
	
	
	
	

	
	
	
	
	

Don’t k
n
not ap ow/
plicable

Strong
ly
disagre
e

Agree

ly agre
Strong

For the following series of statements please indicate your level of agreement.

e

Very acceptable
Somewhat acceptable
Neither acceptable nor unacceptable
Somewhat unacceptable
Very unacceptable

Disagre







Neithe
r
nor dis agree
agree

Very easy
Somewhat easy
Neither easy nor hard
Somewhat hard
Very hard

e







	

	 	 	

	 

26.	The committal shelter used for the service was private, clean,
and free of safety hazards  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

	

	 	 	

	 

27. 	 The cemetery honors all Veterans and their service to our nation.

	

	 	 	

	 

28. 	 There are sufficient signs within the cemetery to assist visitors.

	

	 	 	

	 

29. 	 The quality of service received from cemetery staff is excellent.

	

	 	 	

	 

30. 	 The national cemetery staff was courteous . . . . . . . . . . . . . . . . . . 

	

	 	 	

	 

31. 	The national cemetery staff was professional in terms of being
knowledgeable, helpful, and responsive . . . . . . . . . . . . . . . . . . . . . 

	

	 	 	

	 

32. 	The National Cemetery Scheduling Office’s hours of operation
meet my needs for scheduling services . . . . . . . . . . . . . . . . . . . . . 

	

	 	 	

	 

33. 	 The information kiosks (i.e., gravesite locators) are helpful to me.

	

	 	 	

	 

34. 	 The overall appearance of the national cemetery is excellent  . . . 

	

	 	 	

	 

35. 	Overall, I am satisfied with my experience at the national
cemetery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

	

	 	 	

	 

36. 	I would recommend the cemetery to Veteran families during their
time of need . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

	

	 	 	

	 

37. 	I am willing to rely on VA and the National Cemetery
Administration to meet the burial needs of Veterans in the future.

	

	 	 	

	 

38. 	I am willing to rely on VA and the National Cemetery
Administration to maintain national cemeteries as national
shrines in the future  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

	

	 	 	

	 

39. 	My experiences with the national cemetery exceeded my
expectations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

	

	 	 	

	 

25.	The upkeep of the headstones, markers, or columbarium niche
covers is excellent . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

< MasterID >

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SEE MARKING INSTRUCTIONS ON THE COVER.

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40. 	Please use this space to elaborate on any aspect of your experience at the national cemetery you wish to
share with us. If your comment is in response to a specific question, please reference the question number.
	

___________________________________________________________________________________

	

___________________________________________________________________________________

	

___________________________________________________________________________________ 	

	
Note: If you would like to be contacted by the cemetery, please write your name and contact information
(address or telephone number):
	

___________________________________________________________________________________

MEMORIAL PRODUCTS SERVICE SATISFACTION SURVEY
IMPORTANT – PLEASE ANSWER BEFORE PROCEEDING: Did your funeral home order NCA memorial products
(headstones, markers, medallions, niche covers, or Presidential Memorial Certificates (certificate signed by the
President of the United States honoring the Veteran’s service)) during the 2021 calendar year?
 Yes -> Go to Question 1
 No -> Go to the State or Tribal Veterans Cemeteries Satisfaction Survey on Page 8
1.	On average, about how many VA headstones,
markers, and medallions do you/your company
order in a year?

5. 	Did you call the NCA Applicant Assistance
number (1-800-697-6947) for assistance with a
headstone, marker, or medallion?

	
	
	
	

	  Yes
	
 No -> Go to #9
	
 Don’t Know
	
6. 	Did you speak with an NCA Customer
Service representative initially, or were you
transferred to NCA by a VA Customer Service
representative?






Less than 10
11 to 25
26 to 40
More than 40

2.	Please indicate the type(s) of VA headstones/
markers/medallions you/your company
ordered. (Mark all that apply)
	
	
	
	
	







	

Flat Bronze
Flat Marble/Granite
Bronze Niche
Upright Marble/Granite
Bronze Medallion

	
	

3. 	How do you typically order VA headstones,
markers, or medallions? (Mark all that apply)
	
	
	
	






Via the mail (to National VA)
Via fax (to National VA)
Via the local VA office
Other (specify): ________________________

4. 	How satisfied are you with the process you
typically used to order headstones, markers,
and medallions?
	
	
	
	
	







7. 	Why did you call NCA? (Mark all that apply)
	
 To check on the status of an order
	
 To get help with ordering a marker
	
 To file a complaint about a marker
	
 Other (specify):___________________________
8.	How satisfied were you with the service you
received from the NCA Customer Service
representative?
	
	
	
	
	

ery satisfied
V
Somewhat satisfied
Neither satisfied nor dissatisfied
Somewhat dissatisfied
Very dissatisfied	
-5-

 S
poke with an NCA Customer Service
representative initially
 
Transferred to NCA
 
Don’t know







ery satisfied
V
Somewhat satisfied
Neither satisfied nor dissatisfied
Somewhat dissatisfied
Very dissatisfied

< MasterID >

SEE MARKING INSTRUCTIONS ON THE COVER.

Correct Mark    

9.	Have you visited the VA website for
information about ordering the headstone,
marker, or medallion?
	
	

14.	About how long after ordering the headstone,
marker, or medallion did it arrive?

 Yes

 No -> Go to #12

10. 	What type of information were you looking for
on VA’s website? (Mark all that apply)
	
	

	
	
	

	

 D
ownload an order form
 F
ind out what could go on the
headstone/marker/medallion
 
How to order a headstone/marker/medallion
 
Find information on documentation needed
 
Find information on the certificate signed by
the President of the United States honoring the
Veteran’s service
 Other (specify):_________________________







	
	
	

 C
omplete and confirm information with family
member’s review and signature
 Complete and send to the VA
 
Partially complete and give to family member
for finalization
 Other (specify):_________________________

	Memorial product orders require the signature
from the next of kin or written delegation of
representation?
 Yes

 No

	Certification that the Veteran for whom the
headstone, marker, or medallion is intended has
not committed a capital crime and/or Tier 3 sex
offense?	
	

 Yes

 No

< MasterID >

ess than 1 month
L
Between 1 and 2 months
Between 2 and 3 months
Between 3 and 4 months
More than 4 months
Don’t Know

	
	
	
	
	







ery satisfied
V
Somewhat satisfied
Neither satisfied nor dissatisfied
Somewhat dissatisfied
Very dissatisfied

 Yes

 No –> Go To #20

17. 	About what percentage of the markers that you
receive have problems?
	
 Less than 1%
	  1% to 5%
	  6% to 10%
	  More than 10%

13. 	Are you aware of the following requirements:

	








15. 	How satisfied are you with the amount of time it
takes to receive VA markers?

	

ery satisfied
V
Somewhat satisfied
Neither satisfied nor dissatisfied
Somewhat dissatisfied
Very dissatisfied

12. 	When completing an application for a VA
headstone, marker, or medallion, do you
typically: (Mark only one)
	

	
	
	
	
	
	

16. 	In the past year, have you/your company had
problems with a delivered headstone, marker, or
medallion?

11.	How satisfied were you with the ease of
finding the information you were looking for
on VA’s website?
	
	
	
	
	

Incorrect Marks    

-6-

18. 	What types of problems have you experienced
with VA furnished headstones and markers?
(Mark all that apply)
 Broken/chipped headstones/markers
	  Typographical error(s)
	  Wrong information/symbol
	  Discoloration
	  Wrong type of headstone or marker
	  Other (specify): _________________________
19. 	How satisfied are you with the timeliness in
which problems have been corrected?
 
Very satisfied
	  Somewhat satisfied
	  Neither satisfied nor dissatisfied
	  Somewhat dissatisfied
	  Very dissatisfied

SEE MARKING INSTRUCTIONS ON THE COVER.

Correct Mark    

	
Cut..............................................
 
Polish..........................................
 
Color...........................................
 
Finish..........................................
 
Depth of the inscription
(Stone only) ...............................
 

e
Below
averag
e
Extrem
ely po
or

Avera
g

Above
ave

Excell
ent

rage

20. 	Generally, how would you rate the quality
of the VA headstones or markers received
compared to those received in previous years
in the following areas?
















  

21. 	Please indicate your level of agreement with
the following statement: The overall quality
(i.e., craftsmanship, not damaged, correct
inscription spelling, etc.) of the headstone,
marker, or medallion I received from the VA
was excellent.
	
	
	
	
	







Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree

Incorrect Marks    

22. 	Are you aware of the Presidential Memorial
Certificate (PMC) Program (the certificate signed
by the President of the United States honoring
the Veteran’s service)?
	

 Yes	

 No –> Go To #25

For information about the Presidential Memorial
Certificate (the certificate signed by the President of
the United States honoring the Veteran’s service) or
to order more copies, please visit our web page at
www.cem.va.gov/pmc.asp.
23. 	Do you typically inform your clients about the
program?
	

 Yes	

 No

24. 	Do you typically order the certificate(s) for your
client?
	

 Yes	

 No

25. 	Overall, how satisfied were you with your
experiences with these VA memorial products
and services?
	
	
	
	
	







ery satisfied
V
Somewhat satisfied
Neither satisfied nor dissatisfied
Somewhat dissatisfied
Very dissatisfied

26. 	Do you have any additional comments concerning how the VA Memorial Products Service could
improve its services and programs? If your comment is in response to a specific question, please
reference the question number.
	

___________________________________________________________________________________

	

___________________________________________________________________________________

	

___________________________________________________________________________________

-7-

< MasterID >

SEE MARKING INSTRUCTIONS ON THE COVER.

Correct Mark    

Incorrect Marks    

STATE OR TRIBAL VETERANS CEMETERIES SATISFACTION SURVEY
IMPORTANT – PLEASE ANSWER BEFORE PROCEEDING: Did you conduct business at a State or Tribal Veterans
Cemetery during the 2021 calendar year?
 Yes -> Go to Question 1
 No -> Please return this survey in the pre-paid envelope provided
1.	In the survey packet,
look at the form labeled
“INSTRUCTIONS FOR
COMPLETING THE STATE
OR TRIBAL VETERANS
CEMETERIES SATISFACTION
SURVEY QUESTION 1” to
identify which State or Tribal
Veteran Cemetery you most
frequently do business with
and fill in the corresponding
number in the spaces to the
right.






























Please complete this survey based on your experiences
at this cemetery within the 2021 calendar year.
2.	How far is your funeral home from the State or
Tribal Veterans Cemetery with which you most
frequently do business?
	
	
	

 Less than 15 miles	
 15 to 29 miles	
 30 to 44 miles	

 45 to 59 miles
 60 to 75 miles
 More than 75 miles

3. 	How long has your funeral home worked with
the State or Tribal Veterans Cemetery?	
	
	
	

 Less than 1 year	
 1 to 4 years	
 5 to 8 years	

 9 to 12 years
 13 years or more
 Don’t know

4. 	Of the eligible Veteran families you serve,
approximately what percent choose burial in
the State or Tribal Veterans Cemetery?	
	
	
	
	






1-4%	
5-9%	
10-14%	
15-24%	

 25-49%
 50-74%
 75-100%

5. 	How would you characterize the overall
communication from the State or Tribal
Veterans Cemetery to your funeral home?
	
	
	
	






Excellent
Good
Fair
Poor	

6. 	Do you feel that you are well informed by the
State or Tribal Veterans Cemetery of its policies
and procedures?
	
	
	

 Yes, well informed
 Yes, somewhat well informed
 No, not well informed

7. 	In general, of the following services, which
one provides you the MOST information about
State or Tribal Veterans Cemetery policies and
procedures? (Mark only one)
	
 Outreach by cemetery staff
	
 
State or Tribal/VA/NCA website
	
 
Veterans Service Officers
	
 
Professional associations/conventions/ meetings
	
 Local newspaper/television or news reports
	
 Public events (e.g. parades, exhibits, speeches)
	
 Other (specify):___________________________
8.	What State or Tribal Veterans Cemetery policies
or procedures do you feel you could use more
information about? (Mark all that apply)
	
	
	
	
	
	
	
	

 None, I feel well informed
 
Scheduling process
 
Eligibility requirements for burial in a State or
Tribal Veterans Cemetery
Presidential Memorial Certificate (the certificate
 
signed by the President of the United States
honoring the Veteran’s service)
 Military funeral honors
 Floral policy
 
Headstone, marker, or columbarium niche
cover inscription options
 Other (specify):___________________________

For information about the Presidential Memorial Certificate
(the certificate signed by the President of the United States
honoring the Veteran’s service) or to order more copies,
please visit our web page at www.cem.va.gov/pmc.asp.
9.	What is the best way for the State or Tribal
Veterans Cemetery to communicate with your
funeral home regarding changes in its policies
and procedures? (Mark only one)
	
	
	

-8-

 Email	
 Phone	
 Letter	

 Fax
 State or Tribal website
 Newsletter or flyer

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SEE MARKING INSTRUCTIONS ON THE COVER.

Correct Mark    

Incorrect Marks    

10.	Overall, how satisfied are you with the
communication between your funeral home
and the State or Tribal Veterans Cemetery?

16.	Do you understand the inscription options for
the headstone, marker, or columbarium niche
cover available to next of kin?

	
	
	
	
	

	







Very satisfied
Somewhat satisfied
Neither satisfied nor dissatisfied
Somewhat dissatisfied
Very dissatisfied

11.	Overall, how would you compare the level of
service you receive from the State or Tribal
Veterans Cemetery with the level of service you
receive from private cemeteries?
	
	
	
	
	
	








Superior to private cemeteries
Better than private cemeteries
About the same
Worse than private cemeteries
Much worse than private cemeteries
Don’t know/not applicable








Superior to private cemeteries
Better than private cemeteries
About the same
Worse than private cemeteries
Much worse than private cemeteries
Don’t know/not applicable

 Yes	

 No

 No-> Go to #16

15.	Do you typically provide these information
resources on military honors to next of kin?
	

 Yes	

 No

< MasterID >

	
	
	
	
	

Less than 1 hour
1 to 2 hours
3 to 4 hours
5 to 8 hours
1 to 2 days
More than 2 days

-9-







Very satisfied
Somewhat satisfied
Neither satisfied nor dissatisfied
Somewhat dissatisfied
Very dissatisfied

20. 	During committal services, how often do you
receive the support you need from cemetery staff?
	
	
	
	






Always
For the most part
Occasionally
Never

21. 	Generally, how often do committal services at the
State or Tribal Veterans Cemetery start on time?
	
	
	
	

14.	Are you aware of any State or Tribal Veterans
Cemetery Information resources on military
honors?
 Yes	








19. 	Overall, how satisfied were you with the length
of time it took to confirm the scheduling of an
interment?

For general information about eligibility for
interment at a State or Tribal Veterans Cemetery,
please visit our web pages at
www.cem.va.gov/cem/grants/veterans_cemeteries.asp
and www.cem.va.gov/cem/burial_benefits/eligible.asp.

	

17. 	How easy is the process of scheduling an
interment at the State or Tribal Veterans
Cemetery?
	
 Very easy
	  Somewhat easy
	  Neither easy nor hard
	  Somewhat hard
	  Very hard

	
	
	
	
	
	

13.	Do you understand the eligibility requirements
for burial in a State or Tribal Veterans Cemetery
including eligibility for National Guard,
Reservists, and Veteran dependents?
	

 No

18. 	How long does it typically take to confirm the
scheduling of an interment with the State or
Tribal Veterans Cemetery?

12.	Overall, how would you compare the
appearance of the State or Tribal Veterans
Cemetery with the appearance of private
cemeteries?
	
	
	
	
	
	

 Yes	






Always
For the most part
Occasionally
Never

SEE MARKING INSTRUCTIONS ON THE COVER.

Correct Mark    

22. 	 If you are delayed in arriving at the State or Tribal
Veterans Cemetery for a scheduled service,
how successful is the cemetery in adjusting the
schedule to accommodate the family?
	
	
	
	
	
	








Very successful
Somewhat successful
Neither successful nor unsuccessful
Somewhat unsuccessful
Very unsuccessful
Don’t know/Not applicable

Incorrect Marks    

24. 	To what extent is the quality of Military honors
acceptable?
	
	
	
	
	







Very acceptable
Somewhat acceptable
Neither acceptable or unacceptable
Somewhat unacceptable
Very unacceptable

23. 	How easy is it to schedule military honors at
the State or Tribal Veterans Cemetery?

Don’t k
n
applica ow/not
ble

Strong
ly
Disagre
e

e

Agree

Disagre

Strong

For the following series of statements please indicate your level of agreement.

Neithe
r
nor dis agree
agree

Very easy
Somewhat easy
Neither easy nor hard
Somewhat hard
Very hard
e







ly agre

	
	
	
	
	

25. 	The upkeep of the headstones, markers, or columbarium niche
covers is excellent . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

	

	 	 	

	 

26. 	The committal shelter used for the service was private, clean,
and free of safety hazards  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

	

	 	 	

	 

27. 	 The cemetery honors all Veterans and their service to our nation.

	

	 	 	

	 

28. 	 There are sufficient signs within the cemetery to assist visitors.

	

	 	 	

	 

29.	The quality of service received from cemetery staff is excellent.

	

	 	 	

	 

30. 	 The State or Tribal Veterans Cemetery staff was courteous . . . . . 

	

	 	 	

	 

31. 	The State or Tribal Veterans Cemetery staff was professional in
terms of being knowledgeable, helpful, and responsive . . . . . . . . 

	

	 	 	

	 

32. 	The State or Tribal Veterans Cemetery hours of operation meet
my needs for scheduling services . . . . . . . . . . . . . . . . . . . . . . . . . . 

	

	 	 	

	 

33. 	 The information kiosks (i.e., gravesite locators) are helpful to me.

	

	 	 	

	 

34. 	The overall appearance of the State or Tribal Veterans Cemetery
is excellent . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

	

	 	 	

	 

35. 	Overall, I am satisfied with my experience at the State or Tribal
Veterans Cemetery  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

	

	 	 	

	 

36. 	I would recommend the cemetery to Veteran families during their
time of need . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

	

	 	 	

	 

- 10 -

< MasterID >

Don’t k
n
applica ow/not
ble

Strong
ly
Disagre
e

e
Disagre

Agree

Neithe
r
nor dis agree
agree

Strong

For the following series of statements please indicate your level of agreement.

Incorrect Marks    

e

Correct Mark    

ly agre

SEE MARKING INSTRUCTIONS ON THE COVER.

37. 	I am willing to rely on the State or Tribal Veterans Cemetery to
meet the burial needs of Veterans in the future . . . . . . . . . . . . . . . 

	

	 	 	

	 

38. 	I am willing to rely on the State or Tribal governments to
maintain State or Tribal Veterans Cemeteries as national shrines
in the future . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

	

	 	 	

	 

39. 	My experiences with the State or Tribal Veterans Cemetery
exceeded my expectations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

	

	 	 	

	 

40. 	Please use this space to elaborate on any aspect of your experience at the State or Tribal Veterans
Cemetery you wish to share with us. If your comment is in response to a specific question, please reference
the question number.
	

___________________________________________________________________________________

	

___________________________________________________________________________________

	

___________________________________________________________________________________

	
Note: If you would like to be contacted by the cemetery, please write your name and contact information (address
or telephone number):
	

___________________________________________________________________________________

	
PLEASE mail this completed questionnaire in the enclosed pre-paid envelope as soon as possible. If you
misplaced the pre-paid envelope, you may mail the completed survey to the following address using your
own envelope:
DEPARTMENT OF VETERANS AFFAIRS
VA NCA CUSTOMER SATISFACTION SURVEY
PO BOX 510570
LIVONIA, MI 48151
If you have any questions about this research, please contact the Survey Help Line at 1-833-231-7069
or [email protected].

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