giving blood donation

BLOOD DONATION SURVEY

Thank you for your blood donation . take a few minutes to let us know how we are doing by completing the short survey below

1 . How would you describe your relationship with Blood Donation Center (Select all that apply

Current blood donor

Past blood donor

Unable to donate blood currently

Financial donor

Volunteer Blood recipient

2 . Before your last donation , did any person or organization ask you to donate blood

Yes (Who Encouraged You

Family

Member Friend

My Employer

Co-worker

My

school

My doctor

Religious Organization Social /Civic Group Someone from Blood Center

No

Don 't Know

3 . Were you nervous about your last blood donation

Yes (Mark all that apply

I am afraid of needles

I do not like the sight of blood

I was afraid it would make me feel sick

I was afraid it would hurt

No

Don 't Know 4 . Thinking of your last donation how would you rate

Very Good Good Average Poor Very Poor

5 . How you were greeted by the staff

Very Good Good Average Poor Very Poor

The way you were treated by the staff

Very Good Good Average Poor Very Poor

7 . The level of privacy during the screening process

Very Good Good Average Poor Very Poor

8 . The skill of the staff

Very Good Good Average Poor Very Poor

9 . How you physically felt during or after your donation

Very Good Good Average Poor Very Poor

10 . The amount of time you waited to make your...