Thank you for being a life-saving donor and welcome to your Rhode Island Blood Center Donor Survey. If you have immediate medical concerns or issues, please contact us at 1-401-453-8307.
Please tell us about your most recent experience of donating blood. Your compliments and concerns will help us improve our services.
To complete the survey, please refer to your Unit number located on the back of your Post-Donation Information Flyer. If you prefer, you can also complete this survey via phone at 888-732-0320.
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1) Locate your Unit Number on the back of your Post-Donation Information Flyer.
Please enter the 8 digits shown after W0517. |
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| I do not have my Unit Number. |
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| 2) Please select the Location where you donated blood. |
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Donor Center Blood Drive Inside Blood Drive Bus |
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| 3) Please select the Center where you donated blood. |
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| 4) How many times have you donated in the last 12 months? |
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First time One to Two times a year Three to Four times a year More |
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| 5) Did we make you feel valued and appreciated ? |
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Yes No |
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| 6) Please rate the welcome you received upon arrival. |
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Totally Satisfied Satisfied Average Dissatisfied Totally Dissatisfied |
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| 7) Please rate the total time you felt you were unnecessarily waiting during the entire donation process. |
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I did not have to wait Less than 5 minutes 5 to 15 minutes 15 to 30 minutes More than 30 minutes |
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| 8) Please rate the professionalism of our staff. |
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Totally Satisfied Satisfied Average Dissatisfied Totally Dissatisfied |
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| 9) Please rate the privacy of the areas used to complete your questionnaire and mini physical/interview. |
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Totally satisfied Satisfied Average Dissatisfied Totally dissatisfied |
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| 10) Did you feel that the blood collection staff was skilled and competent? |
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Yes,definitely Yes, somewhat No |
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| 11) Did the blood collection staff talk in front of you as if you weren't there? |
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No Yes,sometimes Yes,often |
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| 12) Was the donor center or blood drive as clean as it should be? |
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Yes,definitely Yes,somewhat No |
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| 13) Did staff thank you for giving blood? |
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Yes No |
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| 14) Did the blood collection staff explain what to do if you experienced problems after your blood donation? |
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Yes,completely Yes,somewhat No |
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| 15) How did you find out about our patient needs and the donation location you visited? |
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Previously donated or called by center Radio Internet or e-mail Postcard or mailing Other |
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| 16) Based on this donation experience, can we count on your generosity for another blood donation in the future? |
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Yes No |
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Why will you not donate again?
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| 17) Please rate your overall experience. |
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Totally Satisfied Satisfied Average Dissatisfied Totally Dissatisfied |
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| 18) Please make any additonal comments about your donation. |
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