Feedback Form
The Association of Natural Burial Grounds
We are aware that you have recently been bereaved and may not wish to complete this comments
form. However, if you feel able to do so, your contribution will help us to continually improve theservices families receive when arranging a funeral at a natural burial ground.
You have chosen to use a burial place that is a member of our Association. All of our members offer
their clients the opportunity to tell us, using this form, about their experience. Through the comments
and suggestions we have received in the past, we have been able to share ideas and improve standards
across our membership as well monitor the celebrants and funeral directors involved.
The Association of Natural Burial Grounds is run by The Natural Death Centre, a non-profit charitythat seeks to inform, empower and inspire the public in all matters relating to death and dying, and inparticular to increase awareness of funeral choices outside of the mainstream.
The Natural Death Centre has recently launched a new website, Funeral Advisor. For the first time thepublic have the opportunity to submit a review, in the public domain, about the service they received
from a funeral director. If you are able to access the internet please do submit your comments about thefuneral director you engaged at www.funeraladvisor.org.uk Your recent experience will be invaluable toother families faced with making the same decisions.
We thank you for helping us to help those who have yet to be bereaved.
Please feel free to be open in your comments.
Please return this form to:
The Natural Death Centre, In The Hill House, Watley Lane, Twyford, Winchester, SO21 1QX.
The Natural Death Centre charity’s help and advice is only possible with your support. As a non- profit charity, we rely on
gifts from people like you to do our work. Please consider a tax-deductible donation to ensure we can help the next family
who call on us. Using Gift Aid means that we get an extra 25% from the Inland Revenue, helping your donation go further.
This means that £100 can be turned into £125, just fill out the form below. Imagine what a difference that could make, andthere is no extra cost to you! If you have any questions about Gift Aid, please contact us and we will be happy to help.
Thank you for your kind support.

Name:………………………………………………………………………………………………………………………

Address: ………………………………………………………………………………………………………………………
Telephone(s): …………………………………………………………………………………………………………………
Email :………………………………………………………………………………………………………………………

I want the charity to treat all donations I have made since 6 April 2000 and all donations I make from the date of thisdeclaration until I notify you otherwise as Gift Aid donations.
Signature ................................................................. Date - - /- - / - - - Notes: Please make cheques payable to: The Natural Death Centre You must pay an amount of income tax and/orcapital gains tax at least equal to the tax that the charity reclaims on your donations in the tax year. You can cancel thisdeclaration at any time by notifying the charity. If in the future your circumstances change and you no longer pay tax
on your income and capital gains equal to the tax that the charity reclaims, you can cancel your declaration (see note1). If you pay tax at the higher rate you can claim further tax relief in your Self- Assessment tax return. If you are unsure
whether your donations qualify for Gift Aid tax relief, ask the charity. Or ask your local tax office for leaflet IR 65. Please
notify the charity if you change your name or address.

ANBG Feedback Form
About you and the person who died:
You:

Would you recommend this burial ground to others?
Why?

Could anything have been made better for you?

The person who died:Your relationship to them:

About the burial site:
Please tell us about the place you chose for them:

Did you visit or look at any other natural burialgrounds? Yes / No
If yes which one/s? .

About the service:
Please tell us a little more about the funeral itself:

Name of the burial ground:
Date of the funeral:
How did you know about it?

How would you describe the burial ground?

Where was the ceremony held?
Did you use a funeral director? Yes / No
If yes, which funeral director did you use (Name ofWhat made you decide this was the right place?

company and town)
Why did you choose them?

How would you rate this burial ground?
Ambience

Overall how would you rate the service you
received from them?

Facilities
Support from staff
AccessibilityEthos
Overall how would you rate the service you

Were they familiar with the requirements of anatural burial? Yes / No
Did you feel pressurised to have services that you
did not want or require? Yes / No
If so please could you elaborate?

received from them?

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Comments / Could anything have been better with

Did you buy the coffin through a funeral director?

the funeral directing? Yes / No

Yes / NoIf so please could you elaborate?

If so, did they inform you which country it hadcome from? Yes / No

Did you use a celebrant? Yes / No

About the transport:

If yes, which celebrant did you use (Name and town)

How was the coffin conveyed to the burial site?

Why did you choose them?

Further comments

Overall, how happy were you with the service they

Please feel free to add any further comments aboutprovided for the funeral?

the funeral that you think might be helpful to others– either those involved in your arrangements, orfamilies in the future. We welcome more detailed,

Could anything have been better? Yes / No

personal perspectives, so if you would like to attach
your story to this form we would be delighted toIf so please could you elaborate?

receive it.

About the coffin:
What type of coffin did you use? (Woven Wood
Cardboard/Paper pulp Other...)Please indicate here whether you are happy for us tocontact you about your comments: Yes / No
What made you choose this type of coffin?

Name:………………………………………………………………………………………………………………………

Address: ………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………
Telephone(s): …………………………………………………………………………………………………………………
Email :………………………………………………………………………………………………………………………

Would you like to receive the free Natural Death Centre e-magazine More to Death Yes / No

Thank you for taking time to complete this questionnaire

Copyright © The Natural Death Centre Charity 2013 (Charity No. 1091396)
w: www.naturaldeath.org.uk e: contact@naturaldeath.org.uk t: 01962 712690
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