Shepherdess Ministry Activity Report

Please complete this form when you have met for the first time with the care recipient and then as needed, as care continues.

Your Name

First Name

Last Name

Name of care recipient

First Name

Last Name

Name of pastor/elder/deacon overseeing your team

First Name

Last Name

Name of others, if any, on your team

First Name

Last Name

Number of times you have met

Summary of the issues that are the basis for shepherdess in this case

List main issue(s) most recently addressed

What unbiblical habits of thinking and/or behaving do you observe?

What biblical solutions have been presented?

Was homework assigned? If yes, describe briefly.

What changes, if any, have you observed in attitude, character, or circumstances?

How would you rate the overall progress?

What are your goals for future sessions?

Is help needed from a team member or the assigned elder/deacon?

If yes, name which team member and what kind of help is needed.

* must complete these boxes