FBS Chairperson Survey
Welcome to the FBS Chairperson Survey
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Date/Start Time of Blood Drive:  January 23, 2009 08:00 AM    
 
Your Name:  Test chairperson    
 
Title:  Blood Drive Chairperson    
 
Organization Name:  Test Organization name    
 
Your Phone Number:  123465    
 
E-mail:  tester@test.com    
 
Projected # of donations:  50    
 
Actual # of collected donations: 
 
Name of Donor Services' Charge Person:  Charge Person    
 
 
Your Community Relations Representative (CRR):  CRR  
 
1) Were you able to observe the Blood Drive in progress?
  Yes  No, but I visited the Drive location  No, I did not visit the Drive location  
 
2) Did your CRR Communicate on a regular basis, prior to your Blood Drive?
  Yes  No, it was not necessary  No, I would have liked more communication  Don't Know  
 
3) Please rate the professionalism and customer service of your CRR.
  Excellent  Very good  Good  Fair  Poor  Don't Know  
 
4) Did your CRR assist in booking the blood drive date and time well in advance?
  Yes, appropriate time was given  No, not an option   No, more time was needed.  Don't Know  
 
 
5) Was eDonor utilized to schedule appointments in advance?
  Yes  No, eDonor is not suitable for us.  No, please provide me more information about eDonor  
Don't Know  
 
6) Did your CRR help you set realistic goals?
  Yes  No, it was not necessary  No, I would have liked more communication  Don't Know  
 
7) Did your CRR help you choose a suitable place for the blood drive?
  Yes  No, it was not necessary  No, I would have liked help  Don't Know  
 
8) Did your CRR offer a group presentation?
  Yes  No, it was not necessary  No, I would have liked a group presentation  Don't Know  
 
9) If a group presentation was given, please rate it
  Excellent  Very good  Good  Fair  Poor    No presentation given
 
10) Did your CRR provide you with enough recruitment materials?
  Yes  No, they were not necessary.  No, more were needed.  Don't Know  
 
11) Were the recruitment materials of good quality?
  Yes  No  Don't Know  
 
12) Were the recruitment materials delivered on time?
  Yes  No, they were not necessary.  No, should have been earlier  Don't Know  
 
13) Did the staff in charge of the mobile drive introduce themselves?
  Yes  No, not practical  No  Don't Know  
 
14) Did your donor services' blood collection STAFF wear name tags?
  Yes  No, not practical  No  Don't Know  
 
15) Did the blood drive begin on time?(January 23, 2009 08:00 AM)
  Yes  No, but no fault of FBS   No   Don’t Know
 
 
16) How would you rate the professionalism and customer service of the FBS Team servicing your Blood Drive?
 
  A) The blood collection staff's personal appearance?
  Excellent  Very good  Good  Fair  Poor  Don't Know  
 
  B) The technical ability of the blood collection staff?
  Excellent  Very good  Good  Fair  Poor  Don't Know  
 
  C) The blood collection staff's rapport with the blood donors?
  Excellent  Very good  Good  Fair  Poor  Don't Know  
 
  D) Overall, how would you rate Florida Blood Services' performance at your blood drive?
  Excellent  Very good  Good  Fair  Poor  Don't Know  
 
17) On average, how long did the donation process take? (from donor sign-in to post-donation refreshments)
  Less than 39 mins  40-49 minutes  50-59 minutes  60-75 minutes  More than 75 mins  
Don't Know  
 
18) Was the time donors spent at the blood drive acceptable to your organization?
  Yes  No, but no fault of FBS  No  Don't Know  
 
19) Is there anything special or new that you or your group did to improve the success of this blood drive? If yes, describe:
 
 
20) Do you believe Florida Blood Services appreciates your group for sponsoring a blood drive?
  Yes  No  Don't Know  
 
21) Would you like to discuss your blood drive with a member of our management team?
  Yes   No
 
 
22) Is there anything more your FBS team can do to help you with your blood drive?
  Yes   No
 
 
23) If you know of any other groups who might be willing to sponsor a blood drive, please list them here:
  Receive a valuable gift card if you refer an organization that sponsors a Blood Drive with 20 or more donors.
 
 Referral Comment:  
 Company name:  
 Contact name:  
 Phone#:  -- Ext-
 Email:  

24) Please place additional comments in the space provided:
 
 
 
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