Was this your first donation at The Donor Center?
Which type of blood product do you typically donate?
- None - Whole blood Platelets Platelet-red cell Varies on each visit
How often do you donate?
- None - Greater than 12 per year 12 times (once a month) 6-11 times per year Less than 6 per year What prompted your first donation at The Donor Center?
What motivated or prompted you to return to The Donor Center?
Would you consider donating at The Donor Center on a Sunday?
Approximately when was your last donation?
- None - Past 2 weeks Past 2 months Past 6 months Greater than 6 months Were you able to reach a representative on your first telephone call?
How would you rate the experience with the phone representative who assisted you?
- None - Excellent Very Good Good Satisfactory Poor
Which best describes your scheduled appointment date and time?
- None - My employer representative chose the date and time First preference-scheduled an appointment Not my first preference-scheduled an appointment Unsatisfactory-scheduled an appointment Unsatisfactory-no appointment scheduled If yes, how would you describe your experience navigating The Donor Center's online scheduling system?
Were you able to locate The Donor Center easily?
How would you rate your greeting upon arrival?
- None - Excellent Very Good Good Satisfactory Poor Was The Donor Center clean and inviting?
Prior to the actual donation, did you feel well informed about the process?
On the day of donation, did you have to wait longer than expected?
Did you feel your medical history was conducted in a professional, confidential and understandable manner?
During your donation (phlebotomy procedure), were appropriate efforts made to ensure your comfort and safety?
Upon completion of your donation, do you feel you had the proper amount of rest time before leaving The Donor Center?
Did we ask if we could reschedule another appointment for you?
Based on your recent experience, would you schedule another appointment and/or recommend The Donor Center to friends or family?
How would you rate your overall experience(s) with The Donor Center?
- None - Consistent high quality Generally good Quality varies on visits Poor
How would rate the level of education we provided prior to your arrival?
- None - Excellent Very Good Good Satisfactory Poor What motivates you to participate in your company drives? (check all that apply)
How would you rate the Roswell Park shuttle service?
- None - Excellent Very Good Good Satisfactory Poor No Shuttle Service Provided Please feel free to elaborate or provide any suggestions that could improve your next visit