Mission of Reconciliation

Freedom Intake

In partnership with USA Missionaries

Participant Assessment and Ministry Preparation. A personal, prayerful, and trauma-informed preparation document.

Step 1 of 21 · Welcome
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Before you begin

Preparing for Freedom

Thank you for taking the time to complete this intake. It helps the ministry team understand your story before Freedom so they can pray, prepare, and minister to you personally instead of using the same process with every participant.

There are no perfect answers. Please answer honestly, but you are never required to describe painful or traumatic experiences in graphic detail. If a question feels overwhelming, choose “I would rather discuss this in person” or leave it unanswered.

This intake is not used to diagnose a mental-health condition or declare that you have a particular spiritual problem. Your answers simply identify areas the ministry team may prayerfully explore with you.

Important: You remain an active participant throughout the ministry process. You may ask questions, decline to discuss an area, or ask the team to stop or slow down at any time.

How to complete this form
  • Check each box that applies to you.
  • Type your answers in the response areas. Your answers save on this device as you go, so you can stop and come back.
  • Do not include graphic details of abuse, assault, or trauma.
  • Send the completed intake only through this secure form.

Confidential participant document. Your answers are sent securely and are read only by the ministry team preparing for Freedom.

Items marked * are needed to send. Everything else is optional.