Donor Survey

* Donation Date:

Phone Number:

Email Address:

Where did you donate blood?

If you donated at a blood drive please indicate the location.

How did you hear about the Community Blood Council of New Jersey?

When you entered the building or blood drive, were you greeted by the staff?

Was the donation environment clean, pleasant and convenient?

After completing the Donor Medical History Form, were you taken to the medical history screening within a reasonable amount of time?

What was the level of privacy throughout the medical history screening?

Were all your questions answered to your satisfaction?

Was the phlebotomist conscientious with your needs?

How was your comfort level and experience during your donation?

How would you rate our selection of refreshments?

Was our staff professional, courteous and knowledgeable throught the entire process?

How long was the entire donation process?

Were you thanked for you donation?

Do you plan to continue donating with the Community Blood Council of New Jersey?

Would you be interested in donating Platelets at the Community Blood Council of New Jersey? (If you are interested, Your Name and a Phone Number or Email address is mandatory.)

Your feedback is essential to us. Please provide any comments or suggestions for improving our customer service to you and other donors.

Would you like to be contacted about your comments on the donor survey?

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We appreciate you taking the time to complete the donor survey. This survey provides us a tool for measuring our customer service and indicates areas for process improvement. Thank you.

* is a response that is required

Donor Survey

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