Thank you for completing your Freedom Appointment with Warriors Set Free. Please share how the appointment went.

PLEASE COMPLETE THE FOLLOWING QUESTIONS.

Name(Required)
Mailing Address(Required)
Date of Birth(Required)
After your freedom appointment, how are you doing in the following areas?
On a scale of 1 to 10, rate yourself in the following areas (1 = No problem, 5 = Moderate problem, 10 = Severe problem):
Depression (Hopelessness)(Required)
Anxiety(Required)
Fear (Irrational)(Required)
Anger (Unhealthy)(Required)
Tormenting thoughts and voices(Required)
Habits and/or behavior over which you have little control(Required)
Self Esteem(Required)
Ability to function in daily activities(Required)
Satisfaction in relationships(Required)
Physical Health(Required)
Bible study and prayer(Required)
Reality of God in your life(Required)
Please include all ministry partner's full names.
Were the 7 Steps to Freedom followed in the appointment?(Required)
Please select two (2) areas that you felt were most significantly improved today.(Required)
After Care - Are you interested in it? (additional support/activities)(Required)
Did you commit or recommit your life to Jesus Christ today?(Required)
Can we share your testimony about your experience?(Required)
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.(Required)