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LifeServe Blood Center - Donating Is Safe

LifeServe Blood Center Donor Survey

Thank You for saving lives!

At LifeServe Blood Center, we strive to help people every day. In order to do that, we need blood donors every day. We need neighbors helping neighbors - people like you!

Our goal is to provide the best blood donation experience possible. Please take a moment to complete a brief survey. Your honest feedback will help us continually improve our service.

To complete the survey, please refer to your unit number located on the post-donation instruction sheet. If you prefer, you can also complete this survey via phone at 877-671-6936.
1) Locate your Unit Number near the bottom right of your Post-Donation Instruction Sheet.

     Select one of the following options that matches the first part of your Unit Number
     OR select "I do not have my Unit Number".
      W0379
      W0441
      W4057

     Enter the 8 numbers shown after W0379 or W0441 or W4057.

    
      I do not have my Unit Number.
 
2) Please select the Location where you donated blood.
Donor Center  Blood Drive  
 
3) Please select the Center where you donated blood.
    
    
 
4) Please tell us the name of someone that did a particularly good job?

    
 
5) How many times have you donated in the last 12 months?

     First time  One to Two times a year  Three to Four times a year  More  
 
6) Did we make you feel valued and appreciated ?
     Yes  No  
 
7) If you made an appointment , was your appointment time honored?
     Yes  No  Did not make an appointment  
 
8) Please rate the welcome you received upon arrival.
     Totally Satisfied  Satisfied  Average  Dissatisfied  Totally Dissatisfied  
 
9) Please rate the total time you felt you were unnecessarily waiting during the entire donation process.
     I did not have to wait unnecessarily  Less than 5 min  5 to 15 min  15 to 30 min  Over 30 min  
 
10) Please rate the friendliness of our staff.
     Totally Satisfied  Satisfied  Average  Dissatisfied  Totally Dissatisfied  
 
11) Please rate the professionalism of our staff.
     Totally Satisfied  Satisfied  Average  Dissatisfied  Totally Dissatisfied  
 
12) Please rate the insertion of the needle.
     Totally Satisfied  Satisfied  Average  Dissatisfied  Totally Dissatisfied  
 
13) Did you feel that the blood collection staff was skilled and competent?
     Yes, definitely  Yes, sometimes  No  
 
14) Was the donor center or blood drive as clean as it should be?
     Yes, definitely  Yes, somewhat  No  
 
15) How well organized was the donor center or the blood drive?
     Very organized  Somewhat organized  Not at all organized  
 
16) Will you donate again in the next 6 months?
     Yes, definitely  Yes, probably  No  
 
17) Did staff thank you for giving blood?
     Yes  No  
 
18) How did you find out about our patient needs and the donation location you visited?
     Previously donated or called by center  Radio  Internet or e-mail  Postcard or mailing  Other  
 
19) Based on this donation experience, can we count on your generosity
       for another blood donation in the future?
     Yes  No  
    Why will you not donate again?
    
 
20) Please rate your overall experience.
     Totally Satisfied  Satisfied  Average  Dissatisfied  Totally Dissatisfied  
 
21) Please make any additional comments about your donation.

    
 
Name   (Optional)
Email Address 
Address   (Optional)
City   (Optional)
State   (Optional)
Zip   (Optional)
Phone   (Optional)

 
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