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Outgoing Feedback Form – Participants
1
Personal Information
2
Your Feedback
This information will used to inform future decisions about the programs, policies, rhythms and community life of YWAM Mountain Refuge. The information on this form will be kept in a secure location (both digitally and in paper files) and only authorized persons will have access to this information. If feedback is to be used in promotion and newsletter communications, your consent will be obtained first.
Personal Information
Full Name
(Required)
Email
(Required)
Permenant Phone Number
Permanent Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Réunion
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Your Participation at YWAM Mountain Refuge
Area of Involvement
(Required)
Independent Stay, Program Participant, Workshop Participant
Dates of involvement with Mountain Refuge
(Required)
Your Feedback
Overall, how would you describe your experience at Mountain Refuge?
(Required)
Did you experience a sense of belonging?
(Required)
Not at all
Sometimes
Mostly
Always
Other
Did you feel safe?
(Required)
1-unsafe and 5-very safe
1
2
3
4
5
Overall perspective of the program?
(Required)
1-useless and 5-lifechanging
1
2
3
4
5
Have your expectations been met, both spiritually and functionally?
(Required)
If so, please explain
If not, has God compensated in other ways?
What have been the most valuable lessons/experiences/memories you take with you from your time here?
(Required)
What have been some of your more challenging experiences here? What have you learned through these experiences?
(Required)
Please comment on community teaching times
(Required)
Were there any sessions you really loved? What were some key takeaways from sessions? Were there topics you wish had been covered during teaching sessions?
Please comment on community rhythms
(Required)
Were there any rhythms you really loved or found challenging? Which rhythms did you find most and least effective? What are some key takeaways from practicing community rhythms?
Please comment on your schedule
(Required)
Did you have adequate time to connect with God, yourself and others? Did you have adequate time for processing?
Did you receive adequate personal prayer and processing ministry?
(Required)
Yes
No
Do you feel you have been given adequate tool to help you connect with God, yourself and others?
(Required)
Yes
No
Please comment on your experience of meeting with your one-on-one
(Required)
Are there other ways we could support you to get the most out of your time and experience here?
Have you been able to relate well to the staff/leaders? How have you found staff/leadership availability?
(Required)
Please comment on your living accomodations and experience of shared living space.
(Required)
Do you have any unresolved issues with people?
(Required)
If so, what are you planning to do about it?
Do you have any other comments to make or constructive feedback?
(Required)
Comments
This field is for validation purposes and should be left unchanged.