Disaster Response Forms

Thank you for serving victims with a compassionate heart!  You have put into action what you have learned.  Now you'll want to tell us what you've experienced. 

As you complete this report, consider a few things:
  • Do not hold back!  The more feedback the better.
  • Carefully remember any commitments you made.
  • Your feedback will assist Victim Relief Ministries to make future deployments better!

If you have any questions while completing this form, feel free to contact us at (972) 400-1163.
First Name
Last Name
Email Address
What day(s) did you serve? Please use the following format: MM/DD/YYYY to MM/DD/YYYY
How many total hours did you serve?
To what disaster did you respond? (eg. Hurricane John)
In what town or area did you complete most of your response? (eg. "Galveston, TX" or "East side of the impact area")
Did you have contact with victims?
  • Yes
  • No
Where did you see God at work? (Please describe in detail.)
Were you debriefed?
  • Yes
  • No