South Western Wisconsin Green Burial Survey
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Do you consider the environment important as a factor in deciding funeral and burial

arrangements?

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How familiar are you with green burial?

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Have you ever attended a green burial?

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If you were offered the choice of a green burial (no vault, no embalming, no metal casket), would you be interested in it for yourself or a loved one?

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Which of the following biodegradable containers would you most likely choose?

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If you were to choose green burial, how far would you be willing to travel?

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Which elements of a natural burial would you wish to participate in?

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If you were to choose green burial, which of the following options would you be most likely to choose?

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What form of memorialization would you choose?

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What activities would you return to the cemetery for in the future?

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What is your main reason for choosing a green burial for yourself or a loved one?

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Do you already own a plot in your local cemetery?

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Do you already own a family plot in a cemetery outside your local area?

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Do you have cremated remains you would like buried in the natural burial section of a cemetery?

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Age group

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Sex

Annual income

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Zip Code *
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