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Email (optional):

1. What type of donation?

Platelet apheresis
Research

2. If applicable, did you experience any difficulty in contacting the donor services coordinator to schedule an appointment or to answer any questions?

Yes No N/A

3. Prior to the donation, did you feel well-informed about the process?

Yes No

4. Did your donation exceed the expected time?

Yes No

5. Did you feel your medical history was conducted in a confidential and professional manner?

Yes No

6. During your donation, were appropriate efforts made to ensure your comfort and safety?

Yes No

7. At the completion of your donation, were you asked to wait the required 15 minutes before leaving the donor center?

Yes No

8. Please rate your overall experience donating with us.

Poor
Needs Improvement
Average
Good
Excellent

9. Based on your experience, would you schedule another donation and/or recommend us to a family member or friend?

Yes No

10. Are you happy with the shifts offered?

Yes No N/A

11. If you could add a shift on any day what would it be?

12. Additional comments: compliments and/or areas of improvement

13. Did we make this an enjoyable donation for you?

Yes No

14. Your feedback is very valuable to us. Would you like to be contacted about your comments on the survey?

Yes No

15. May we publish your name?

Yes No

16. May we publish your comments?      

Yes No