NYSUM'S Outreach Leaders Survey
Outreach Leader's Name
First Name
Last name
Outreach Date
-
Month
-
Day
Year
Date
Outreach Site Name
Outreach type?
Total of people attending the outreach? Men/ Women/Children
Please Select
0
25
50
75
100
200
Other
How Many received Salvation?
Please Select
0
5
10
15
20
Other
Total People Prayed for.
Please Select
0
5
10
15
20
Other
Total People being fed.
Please Select
0
10
20
30
40
50
Other
Add short testimony.
Submit
Should be Empty: