Disaster Response Survey

Please answer the questions below to help the Conference gather insight on the disaster response and relief ministries happening at the local church level.

*Your Name
*Your Email
*Church Name

Please select one church name. If you serve a multi-point charge, please fill out the survey once for each church.

*District
*Does your church participate in disaster ministry?
Yes
No
*Please provide the name of the person who leads this ministry.
*Please provide the email of the person who leads this ministry.
*Please provide the phone number for the person who leads this ministry.
*How many years has your church served in this way?
0-1
2-5
5-10
10-20
21+
*Where has your church served?

You may select more than one answer.

Locally
Within Missouri
Within the United States
Internationally
Other
*Other:
*List the Locations:
*List the Locations:
*Does your church have disaster relief or response equipment?
Yes
No
*What equipment do you have?

You may select more than one answer.

Trailer
Muck-out Equipment
Tarping equipment
Generators
Chainsaw
Other
*Other:
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