Surveys of consumers and the recently bereaved were conducted to determine who sends flowers as a sympathy gift and when and why sympathy flowers are sent. Of consumers, 85% sent flowers as a sympathy gift at least once; similarly, 84% of the recently bereaved had sent sympathy flowers. Most sympathy flowers are sent to close friends (63%) and close family members (62%), and sympathy flowers are most often received from close friends (56%) and close family members (43%). Ninety-three percent send flowers as a sympathy gift immediately after notification of a death. According to our survey, sympathy flowers serve two roles in the bereavement process—an emotional and a functional role. Except contact of family and friends, participants indicated that receiving sympathy flowers to help deal with grief was equally or more valuable than all rituals associated with funerals.