Recipient Services Follow Up Evauation

Your Name

Your Role

Organization Name

Country Supplies/Equipment went to

Where are the Medical Supplies/Equipment being used?

Hospital Clinic Mission Camp

How many patients did this shipment serve?

What services does your organization provide?

Did we process your order in a timely manner?

What items did you need the most that Mission-Outreach did not have in our inventory?

If items were not useful, what did you do with them?

Sold to another organization Donated to another organization Destroyed or disposed

Did any of the items arrived damaged?

Were you treated with respect?

Yes No

If No, please explain

Did our team communicate well?

Yes No

If No, please explain

Did our team meet your expectation?

Yes No

If No, please explain

Is there anything else that you would like to comment on about Mission-Outreach?

Could you tell us about who benefitted from the Medical Supplies and Equipment?