Please fill out the form below to complete our Volunteer Survey. Step 1 of 10 - General information 0% General InformationFull name*Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Arrival at Lighthouse mission Date Format: MM slash DD slash YYYY Departure from Lighthouse mission Date Format: MM slash DD slash YYYY Traveling to Kenya Please rate your experience in the following areas. Provide comments below as you find necessary.U.S. Lighthouse office assistance with trip planning--- Please Select ---PoorCould have been betterGoodBetter than expectedExcellentNot ApplicableGreeting at airport by Lighthouse staff--- Please Select ---PoorCould have been betterGoodBetter than expectedExcellentNot ApplicableHelp with safari arrangements--- Please Select ---PoorCould have been betterGoodBetter than expectedExcellentNot ApplicableHelp with hotel and/or on campus housing arrangements--- Please Select ---PoorCould have been betterGoodBetter than expectedExcellentNot ApplicableComments Accommodations Please rate your experience in the following areas. Provide comments below as you find necessary.Volunteer lodging on Lighthouse compound--- Please Select ---PoorCould have been betterGoodBetter than expectedExcellentNot ApplicableFood provisions on Lighthouse compound--- Please Select ---PoorCould have been betterGoodBetter than expectedExcellentNot ApplicableHousekeeping--- Please Select ---PoorCould have been betterGoodBetter than expectedExcellentNot ApplicableOrientation to mission--- Please Select ---PoorCould have been betterGoodBetter than expectedExcellentNot ApplicableComments Medical clinic operations Please rate your experience in the following areas. Provide comments below as you find necessary.Working in general eye clinic--- Please Select ---PoorCould have been betterGoodBetter than expectedExcellentNot ApplicableWork in private eye clinic--- Please Select ---PoorCould have been betterGoodBetter than expectedExcellentNot ApplicableEffeciency of clinic with patient flow--- Please Select ---PoorCould have been betterGoodBetter than expectedExcellentNot ApplicableSupport staff in clinic--- Please Select ---PoorCould have been betterGoodBetter than expectedExcellentNot ApplicableClinic facility, equipment, and supplies--- Please Select ---PoorCould have been betterGoodBetter than expectedExcellentNot ApplicableComments Surgical experience Please rate your experience in the following areas. Provide comments below as you find necessary.Using surgery for teaching--- Please Select ---PoorCould have been betterGoodBetter than expectedExcellentNot ApplicableOpportunities to do surgery--- Please Select ---PoorCould have been betterGoodBetter than expectedExcellentNot ApplicableSurgical facility, equipment, and supplies--- Please Select ---PoorCould have been betterGoodBetter than expectedExcellentNot ApplicableEfficiency of surgical theater--- Please Select ---PoorCould have been betterGoodBetter than expectedExcellentNot ApplicableSurgical support staff--- Please Select ---PoorCould have been betterGoodBetter than expectedExcellentNot ApplicableComments Lighthouse medical director Please rate your experience in the following areas. Provide comments below as you find necessary.Clinical skill--- Please Select ---PoorCould have been betterGoodBetter than expectedExcellentNot ApplicableSurgical skill--- Please Select ---PoorCould have been betterGoodBetter than expectedExcellentNot ApplicableLearning--- Please Select ---PoorCould have been betterGoodBetter than expectedExcellentNot ApplicableAdministration--- Please Select ---PoorCould have been betterGoodBetter than expectedExcellentNot ApplicableLeadership--- Please Select ---PoorCould have been betterGoodBetter than expectedExcellentNot ApplicableComments Lighthouse national ophthalmologist Please rate your experience in the following areas. Provide comments below as you find necessary.Clinical Skill--- Please Select ---PoorCould have been betterGoodBetter than expectedExcellentNot ApplicableSurgical skill--- Please Select ---PoorCould have been betterGoodBetter than expectedExcellentNot ApplicableLearning--- Please Select ---PoorCould have been betterGoodBetter than expectedExcellentNot ApplicableAdministration--- Please Select ---PoorCould have been betterGoodBetter than expectedExcellentNot ApplicableLeadership--- Please Select ---PoorCould have been betterGoodBetter than expectedExcellentNot ApplicableComments Spiritual work Please rate your experience in the following areas. Provide comments below as you find necessary.Opportunities to participate in spiritual work--- Please Select ---PoorCould have been betterGoodBetter than expectedExcellentNot ApplicablePastors and Bible School--- Please Select ---PoorCould have been betterGoodBetter than expectedExcellentNot ApplicablePresentation of the gospel to our patients--- Please Select ---PoorCould have been betterGoodBetter than expectedExcellentNot ApplicableAvailability of evangelical materials--- Please Select ---PoorCould have been betterGoodBetter than expectedExcellentNot ApplicablePresentation of “Jesus Film”--- Please Select ---PoorCould have been betterGoodBetter than expectedExcellentNot ApplicableComments Other travel in Kenya Please rate your experience in the following areas. Provide comments below as you find necessary.Hotel stays in Mombasa--- Please Select ---PoorCould have been betterGoodBetter than expectedExcellentNot ApplicableSafari travel in Kenya--- Please Select ---PoorCould have been betterGoodBetter than expectedExcellentNot ApplicableComments Additional information Please rate your experience in the following areas. Provide comments below as you find necessary.Would you consider bringing your family to the Lighthouse Mission?What can we do in the future to improve your experience?Are you interested in joining us for a future mission?Other CommentsVolunteer opportunitiesAs is the nature of all nonprofits, we are always looking for more help from dedicated people such as yourself. Let us know if you can find time and energy to help in one or more ways. Serve on the board of directorsHelp raise fundsDonate personallyRefer colleaguesThank you for your honest evaluation. We your contributions of time and talent. We hope that you have been blessed by your experience in Mombasa. We hope you return to serve with us again. Please continue to pray for the great work God is doing through the Lighthouse for Christ Mission.
