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Domestic
- Freedom Apt Application
International
Warriors Set Free
Groups/Events
Resources
Admin & Info
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Feedback Letter

Dear Ministry Recipient,

Thank you for allowing Set Free to disciple you. We welcome your feedback. Please take a moment to let us know how we're doing.

Dean Vander Mey
Executive Director
Set Free

PLEASE COMPLETE THE FOLLOWING QUESTIONS.

Name *

First

Last

Mailing Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Active Email *

Phone # *

Sex *

POST-APPOINTMENT SELF-ASSESSMENT

On a scale of 1 to 10, rate yourself in the following areas (1 = No problem, 5 = Moderate problem, 10 = Severe problem):

Depression (Hopelessness) *

1
2
3
4
5
6
7
8
9
10

Anxiety *

1
2
3
4
5
6
7
8
9
10

Fear (Irrational) *

1
2
3
4
5
6
7
8
9
10

Anger (Unhealthy) *

1
2
3
4
5
6
7
8
9
10

Tormenting thoughts and voices *

1
2
3
4
5
6
7
8
9
10

Habits and/or behavior over which you have little control *

1
2
3
4
5
6
7
8
9
10

Self Esteem *

1
2
3
4
5
6
7
8
9
10

Ability to function in daily activities *

1
2
3
4
5
6
7
8
9
10

Satisfaction in relationships *

1
2
3
4
5
6
7
8
9
10

Physical Health *

1
2
3
4
5
6
7
8
9
10

Bible study and prayer *

1
2
3
4
5
6
7
8
9
10

Reality of God in your life *

1
2
3
4
5
6
7
8
9
10

Who was on your ministry team?

Please include all ministry partner's full names.

How well did our ministry team serve you today? *

Were the 7 Steps to Freedom followed in the appointment? *

Yes
No
Other

Were all 7 steps of your freedom appointment completed today? *

Yes
No

Please select two (2) areas that you felt were most significantly improved today. *

Depression
Anxiety
Fear
Anger
Tormenting thoughts & voices
Habits and/or behavior
Self Esteem
Ability to function in daily activities
Satisfaction in relationships
Physical health
Bible study and prayer
Reality of God in your life

After Care - Are you interested in it? (additional support/activities) *

Yes
No

Please share your testimony about your experience with Set Free.

Did you commit or recommit your life to Jesus Christ today? *

Yes
No

I understand that the above information will be used for the confidential purposes of the Freedom Apt and under no circumstance will my information be made public. Additionally, I acknowledge that data collected from Freedom Appointments can be used anonymously for analysis purposes to help us better serve future ministry recipients. *

Yes

Visit or contact Us

700 36th Street SE, Ste #108
Grand Rapids, MI 49548
(616) 726-5400
Ministry Questions: info@setfreeusa.org
Donor Info: donorsupport@setfreeusa.org

OPENING HOURS

Monday - Thursday:
9:00AM - 5:00PM

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Set Free Ministries – 2023

Support Warriors Set Free by participating in Frontline Response’s yearly gala raffle on October 5th in Atlanta, GA. No need to be present to win and it’s officially licensed in Georgia. Your raffle ticket purchase helps us continue the fight for those who’ve bravely fought for us!