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CMMB Haiti Info Survey 2010

 

1. Organization Information

Organization Information   Organization Name (if applicable)
Your Name
Title (if applicable)
Phone Number
Email

2. Please give us a sense of your efforts in Haiti

Please give us a sense of your efforts in Haiti   Currently involved Have been involved in the past (1 to 5 year time period) Involved over 5 years ago and/or have never been involved but want to learn how to get involved (skip to page 2)

3. What is the main work or focus of your work in Haiti? (check all that apply)

What is the main work or focus of your work in Haiti? (check all that apply)   Healthcare Medicines and supplies distribution Orphanage School Twinning

Other (please specify)

4. What is the main geographic area of your work in Haiti (please select all that apply)

What is the main geographic area of your work in Haiti (please select all that apply)   Port-au-Prince Rural areas Not Sure

Other Urban areas (Please Specify)

5. What is the nature of your work?

What is the nature of your work?   Provision of human resources (staff, volunteers, and/or consultants) Provision of financial resources Provision of material resources Direct service provision

6. Do you have partners in Haiti?

Do you have partners in Haiti?   Religious congregation Dioceses Ministry of Health or Government bodies We do not partner with anyone International or local NGO's (please specify) Other (please specify)

Please Specify International or local NGO's or Other Partners