Would you like to receive our monthly e-newsletter? *

Yes (Please provide email above.)

Already receiving e-newsletter

No

The trip was:

Too Short

Just Right

Too Long

This team encouraged the local church members, pastor, and/or missionary.

5 - Strongly Agree

4 - Agree

3 - Neutral

2 - Disagree

1 - Strongly Disagree

Taking into consideration our limited pharmaceutical formulary and diagnostic capabilities, this team delivered quality healthcare.

5 - Strongly Agree

4 - Agree

3 - Neutral

2 - Disagree

1 - Strongly Disagree

This team showed God's love through our actions.

5 - Strongly Agree

4 - Agree

3 - Neutral

2 - Disagree

1 - Strongly Disagree

This team showed God's love through our words.

5 - Strongly Agree

4 - Agree

3 - Neutral

2 - Disagree

1 - Strongly Disagree

This team provided each person an opportunity to hear and respond to the Gospel of Jesus Christ.

5 - Strongly Agree

4 - Agree

3 - Neutral

2 - Disagree

1 - Strongly Disagree

This team was unified and positive.

5 - Strongly Agree

4 - Agree

3 - Neutral

2 - Disagree

1 - Strongly Disagree

I was a valued member of the team.

5 - Strongly Agree

4 - Agree

3 - Neutral

2 - Disagree

1 - Strongly Disagree

I contributed toward the trip goals.

5 - Strongly Agree

4 - Agree

3 - Neutral

2 - Disagree

1 - Strongly Disagree

I was equipped to face the challenges encountered in the Clinic.

5 - Strongly Agree

4 - Agree

3 - Neutral

2 - Disagree

1 - Strongly Disagree

I was confident in my role in the Clinic.

5 - Strongly Agree

4 - Agree

3 - Neutral

2 - Disagree

1 - Strongly Disagree

I was welcomed by the local church.

5 - Strongly Agree

4 - Agree

3 - Neutral

2 - Disagree

1 - Strongly Disagree

CPI's model of "Evangelism through Medicine" was appropriate in this setting.

5 - Strongly Agree

4 - Agree

3 - Neutral

2 - Disagree

1 - Strongly Disagree

The team leaders were well prepared.

5 - Strongly Agree

4 - Agree

3 - Neutral

2 - Disagree

1 - Strongly Disagree

The team leaders helped me feel secure.

5 - Strongly Agree

4 - Agree

3 - Neutral

2 - Disagree

1 - Strongly Disagree

The team leaders encouraged and valued me.

5 - Strongly Agree

4 - Agree

3 - Neutral

2 - Disagree

1 - Strongly Disagree

The team leaders fostered a safe and unified team environment.

5 - Strongly Agree

4 - Agree

3 - Neutral

2 - Disagree

1 - Strongly Disagree

Our leaders modeled Christ-like leadership.

5 - Strongly Agree

4 - Agree

3 - Neutral

2 - Disagree

1 - Strongly Disagree

I was pleased by the hotel/lodging.

5 - Strongly Agree

4 - Agree

3 - Neutral

2 - Disagree

1 - Strongly Disagree

The transportation to the country was satisfactory.

5 - Strongly Agree

4 - Agree

3 - Neutral

2 - Disagree

1 - Strongly Disagree

The transportation in country was satisfactory.

5 - Strongly Agree

4 - Agree

3 - Neutral

2 - Disagree

1 - Strongly Disagree

The food provided was satisfactory.

5 - Strongly Agree

4 - Agree

3 - Neutral

2 - Disagree

1 - Strongly Disagree

The church services were good.

5 - Strongly Agree

4 - Agree

3 - Neutral

2 - Disagree

1 - Strongly Disagree

The ministry opportunities were appropriate.

5 - Strongly Agree

4 - Agree

3 - Neutral

2 - Disagree

1 - Strongly Disagree

The devotions were good.

5 - Strongly Agree

4 - Agree

3 - Neutral

2 - Disagree

1 - Strongly Disagree

The free day was well planned.

5 - Strongly Agree

4 - Agree

3 - Neutral

2 - Disagree

1 - Strongly Disagree

Can we post this story on our social media, along with a picture of you serving on this trip?

Yes (Please include your name.)

No

Are you interested in traveling with CPI again? *

Yes! Please send me updates and trip opportunities. (Please provide email address below.)

No, thank you.

Are you interested in Volunteering with CPI? *

If you click "Yes", a member of our Team will get in contact with you using the contact information provided at the top of this form.

Yes

No

Phone:

(###)

###

####